ANNEX 1.

Research Proposal Application Form and Endorsement of Immediate

Supervisor

A. RESEARCH INFORMATION

RESEARCH TITLE

SHORT DESCRIPTION OF THE RESEARCH

RESEARCH CATEGORY (check RESEARCH AGENDA CATEGORY

only one) (check only one main research theme)
o National o Teaching and Learning
o Region o Child Protection
o Schools Division o Human Resource Development
o District o Governance
o School
(check up to one cross-cutting theme,
(check only one) if applicable)
o Action Research o DRRM
o Basic Research o Gender and Development
o Inclusive Education
o Others (please specify):
____________________

FUND SOURCE (e.g. BERF, SEF, AMOUNT

others

TOTAL AMOUNT
*indicate also if proponent will use personal funds

B. PROPONENT INFORMATION

LEAD PROPONENT/ INDIVIDUAL PROPONENT

LAST NAME: MIDDLE NAME: FIRST NAME:

BIRTHDATE: POSITION/DESIGNATION: SEX:

(MM/DD/YYYY)

REGION/DIVISION/SCHOOL (whichever is applicable):

CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL

ADDRESS:

EDUCATIONAL
ATTAINMENT
(DEGREE TITLE) TITLE OF THESIS/RELATED RESEARCH
Enumerate from PROJECT
bachelor’s degree up to
doctoral degree

SIGNATURE OF THE PROPONENT:

PROPONENT 2

LAST NAME: MIDDLE NAME: FIRST NAME:

BIRTHDATE: POSITION/DESIGNATION: SEX:

(MM/DD/YYYY)

REGION/DIVISION/SCHOOL (whichever is applicable):

 LAST NAME: MIDDLE NAME: FIRST NAME:

CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL

ADDRESS:

EDUCATIONAL
ATTAINMENT
(DEGREE TITLE) TITLE OF THESIS/RELATED RESEARCH
Enumerate from PROJECT
bachelor’s degree up to
doctoral degree

SIGNATURE OF THE PROPONENT:

IMMEDIATE SUPERVISOR’S COMFORME

I hereby endorse the attached research proposal. I certify that the proponent/s
has/have the capacity to implement a research study without compromising his/her
functions.

NORHATTAH C. DAUD
Name and Signature of Immediate Supervisor
Position/Designation: PSDS
Date: _________

___________________________
Name and Signature of Immediate Supervisor
Position/Designation: ___________
Date: __________________

________________________________
Name and Signature of Immediate Supervisor
Position/Designation: ___________
Date: __________________