Republic of the Philippines

Department of Education
REGION IV-A CALABARZON

BERF Action Research Proposal Application Template

LEAD
(SURNAME, FIRST NAME, MIDDLE INITIAL)
PROPONENT
MEMBER (SURNAME, FIRST NAME, MIDDLE INITIAL)
MEMBER (SURNAME, FIRST NAME, MIDDLE INITIAL)
TITLE OF
RESEARCH
DIVISION Quezon Province

Context and Rationale

 Description and context of the study
 Reason for conducting the study
 How the results could be used in action planning
Action Research Questions
 Identify the problem/s which will be addressed by the research
See: DepEd Order 43, s. 2015 otherwise known as Revised Guidelines for the Basic
Education Research Fund (BERF)
Proposed Innovation, Intervention and Strategy
 idea
 problem
 procedure/system
 solution
 phenomenon
 combination of any of these that were used to solve the research problem
Action Research Methods
A. Participants and/or other Sources of Data and Information
 Who will participate in the research
 Number of people
 Characteristics of the participants/sample
 Sampling procedure
B. Data Gathering Methods
 Various instruments
 Procedures for data collection
C. Data Analysis Plan
 How the data will be analyzed and reported
 Qualitative and/or quantitative methods used in analyzing the data

Address: Gate 2, Karangalan Village, Cainta, Rizal

Telephone Nos.: 02-8682-5773/8684-4914/8647-7487
Email Address: region4a@deped.gov.ph Doc. Ref. Code RO-PPRD-F018 Rev 00
Effectivity 09.20.21 Page 1 of 2
Website: depedcalabarzon.ph
 Republic of the Philippines
Department of Education
REGION IV-A CALABARZON

Action Research Work Plan and Timelines

ACTIVITIES *Month Month Month Month Month Month
1 2 3 4 5 6

1. Preparation of research
questionnaire

2. Testing of validity and reliability

of the questionnaire

3.

4.

5. Add rows if necessary

*Shade the corresponding month per activity

Plans for Dissemination and Utilization

DISSEMINATION ACTIVITIES *Mont Mont Mont Mont Mont Mont

h1 h2 h3 h4 h5 h6

1. SLAC

2. District LAC

3. Research conference

4.

5. Add rows if necessary

*Shade the corresponding month per activity

REFERENCES
*Please follow the APA format

SUBMITTED BY:
(Signature over printed name)

Address: Gate 2, Karangalan Village, Cainta, Rizal

Telephone Nos.: 02-8682-5773/8684-4914/8647-7487
Email Address: region4a@deped.gov.ph Doc. Ref. Code RO-PPRD-F018 Rev 00
Effectivity 09.20.21 Page 2 of 2
Website: depedcalabarzon.ph