Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

EFFECTIVENESS OF PEROMETER CARD (PERFORMANCE METER CARD) IN

IMPROVING THE LEVEL OF ENGAGEMENT OF
SENIOR HIGH SCHOOL LEARNERS

An Action Research Proposal

Presented to the
Division Research Committee
through the
Planning, Policy and Research Division
San Fernando City, La Union

JEFFREY O. BALLESTEROS
Maser Teacher II

TIFAITH C. LOPEZ
Teacher III

RUSSELL MAE A. MILAN

Teacher I

SY 2023-2024

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

November 10, 2023

GEORGE M. REINANTE. CSEE, CEO VI, CESO V

Schools Division Superintendent
Division of La Union
City of San Fernando, La Union

Sir:

I have the honor to request from your good office to conduct an Action
Research “EFFECTIVENESS OF PEROMETER CARD (PERFORMANCE
METER CARD) IN IMPROVING THE LEVEL OF ENGAGEMENT OF SENIOR
HIGH SCHOOL LEARNERS”.

Your approval to this request is highly appreciated.

Very truly yours,

JEFFREY O. BALLESTEROS
Maser Teacher II

TIFAITH C. LOPEZ
Teacher III

RUSSELL MAE A. MILAN

Teacher I

Noted:

DR. ADELA C. LIBUNAO

Secondary School Principal IV

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

1ST INDORSEMENT

November 10, 2023

Date

Respectfully forwarded to the Schools Division Superintendent, Division of

La Union, and City of San Fernando. La Union he herein requests of JEFFREY
O. BALLESTEROS, Master Teacher II, TIFAITH C. LOPEZ, Teacher III, &
RUSSELL MAE A. MILAN, Teacher I, of Don Eufemio F. Eriguel Memorial
National High School to conduct an Action research entitled:
“EFFECTIVENESS OF PEROMETER CARD (PERFORMANCE METER CARD)
IN IMPROVING THE LEVEL OF ENGAGEMENT OF SENIOR HIGH SCHOOL
LEARNERS”

DR. ADELA C. LIBUNAO

Secondary School Principal IV

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

ANNEX I

RESEARCH PROPOSAL APPLICATION FORM AND ENDORSEMENT OF

IMMEDIATE SUPERVISOR

A. RESEARCH INFORMATION
RESEARCH TITLE
“EFFECTIVENESS OF PEROMETER CARD (PERFORMANCE METER CARD) IN
IMPROVING THE LEVEL OF ENGAGEMENT OF SENIOR HIGH SCHOOL LEARNERS”
DESCRIPTION OF THE RESEARCH

RESEARCH CATEGORY (Check only one) RESEARCH AGENDA CATEGORY

o National (check only one main research
o Region theme)
o Schools Division o Teaching and Learning
o District o Child Protection
o School o Human Resource Development
o Governance
(check only one) (check up to one cross cutting theme,
o Action Research if applicable)
o Basic Research o DRRM
o Gender and Development
o Inclusive Education
o Others (please specify):
_________
FUND SOURCE (e.g. BERF, SEF, others) AMOUNT
Personal (see attached cost estimates) P30,000.00

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

B. PROPONENT INFORMATION
LEAD PROPONENT / INDIVIDUAL PROPONENT

LAST NAME: FIRST NAME: MIDDLE NAME:

BALLESTEROS JEFFREY ORDONEZ

BIRTHDATE SEX: POSITION/DESIGNATION:

01/31/1986 MALE MASTER TEACHER II

REGION/DIVISION/SCHOOL (whichever is applicable)

Region I/ La Union/Don Eufemio F. Eriguel Memorial National High School
CONTACT NUMBER 1: CONTACT NUMBER E-MAIL ADDRESS:
0936-993-5236 2 Jeffrey.ballesteros@deped.gov.ph

EDUCATIONAL TITLE OF THESIS/RELATED RESEARCH PROJECT

ATTAINMENT Improving the Academic Performance in Physical Science
Master of Arts in Science Through Audio-Based Teaching
Education
SIGNATURE OF PROPONENT:

LAST NAME: FIRST NAME: MIDDLE NAME:

LOPEZ TIFAITH CASILLA
BIRTHDATE SEX: POSITION/DESIGNATION:
01/31/86 FEMALE TEACHER III
REGION/DIVISION/SCHOOL (whichever is applicable)
Region I/La Union/Don Eufemio F. Eriguel Memorial National High School
CONTACT NUMBER 1: CONTACT NUMBER Email Address:
2 jeffrey.ballesteros@deped.gov.ph

EDUCATIONAL TITLE OF THESIS/RELATED RESEARCH PROJECT

ATTAINMENT

SIGNATURE OF PROPONENT:

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

LAST NAME: FIRST NAME: MIDDLE NAME:

MILAN RUSSELL MAE ALBITOS
BIRTHDATE SEX: POSITION/DESIGNATION:
FEMALE TEACHER I
REGION/DIVISION/SCHOOL (whichever is applicable)
Region I/La Union/Don Eufemio F. Eriguel Memorial National High School
CONTACT NUMBER 1: CONTACT NUMBER Email Address:
2 jeffrey.ballesteros@deped.gov.ph

EDUCATIONAL TITLE OF THESIS/RELATED RESEARCH PROJECT

ATTAINMENT

SIGNATURE OF PROPONENT:

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

IMMEDIATE SUPERVISOR’S CONFORME

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

DR. ADELA C. LIBUNAO

Name and Signature of Immediate Supervisor
Position / Designation: School Principal IV
Date: November 10, 2023

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

ANNEX III

DELARATION OF ANTI-PLAGIARISM

1. I/We, JEFFREY O. BALLESTEROS, TIFAITH C. LOPEZ, RUSSELL MAE A.

MILAN understand that plagiarism is the act of taking and using another’s ideas
and works and passing them off as one’s own. This includes explicitly copying
the whole work of another person and/or using some parts of their work without
proper acknowledgement and referencing.

2. I/We hereby attest to the originality of this research proposal and have cited
properly all the references used. I/We further commit that all deliverables and the
final research study emanating from this proposal shall be of original content.
I/We shall use appropriate citations in referencing other works from various
sources.

3. I/We understand that violation from this declaration and commitment shall be
subject to consequences and shall be dealt with accordingly by the Department
of Education.

PROPONENTS :

JEFFREY O. BALLESTEROS TIFAITH C. LOPEZ RUSSELL MAE A. MILAN

____________________ ___________________ ____________________

___ ____ ___
DATE: NOVEMBER 10, 2023

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

DELARATION OF ABSENCE OF CONFLICT OF INTEREST

1. I/We, JEFFREY O. BALLESTEROS, TIFAITH C. LOPEZ, RUSSELL MAE A.

MILAN, understand that the conflict of interest refers to situations in which
financial or other personal considerations may compromise my judgment in
evaluating, conducting, or reporting research.
2. I/We hereby declare that I do not have any personal conflict of interest that may
arise from my application and submission of my research proposal. I/We
understand that my research proposal may be returned to me if found out that
their conflict of interest during the initial are/ is screening as per RMG provision.
3. Further, in case of any form of conflict of interest (possible or actual) which may
inadvertently emerge during the conduct of my research, I/We will duly report it to
the research committee for immediate action.
4. I/We understand that I may be held accountable by the Department of Education
for any conflict of interest, which I/We have intentionally concealed.

Proponents:

JEFFREY O. BALLESTEROS TIFAITH C. LOPEZ RUSSELL MAE A. MILAN

____________________ ___________________ ____________________

___ ____ ___
DATE: NOVEMBER 10, 2023

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

APPROVAL SHEET

Permit to Conduct Basic or Action Research

This Basic or Action Research proposal entitled “EFFECTIVENESS OF

PEROMETER CARD (PERFORMANCE METER CARD) IN IMPROVING THE LEVEL
OF ENGAGEMENT OF SENIOR HIGH SCHOOL LEARNERS” was prepared and
submitted by JEFFREY O. BALLESTEROS, TIFAITH C. LOPEZ, & RUSSELL MAE A.
MILAN of DON EUFEMIO F. ERIGUEL MEMORIAL NATIONAL HIGH SCHOOL,
AGOO, LA UNION.

Pertinent documents submitted/attached have been read, thoroughly evaluated,

and validated by the Schools Division Research Committee (SDRC) members and
thereby recommended for approval of the Schools Division Superintendent.

SCHOOLS DIVISION RESEARCH COMMITTEE:

MARIE RHODORA A. ROQUE, PhD

Senior Education Program Specialist
In-charge of Basic or Action Research

EMILIANA M. BOAC, EdD

Chief Education Program Supervisor
School Governance and Operations Division

APPROVED:

GEORGE M. REINANTE, CSEE, CEO VI, CESO V

Schools Division Superintendent

FOR THE SCHOOLS DIVISION SUPERINTENDENT:

DR. DOMINGO L. LAUD

OIC- Office of the Assistant Schools Division Superintendent

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: 205-0046
Email: la.union@deped.gov.ph