ANNEX 1.

REASEARCH PROPOSAL APPLICATION FORM AND

ENDORSEMENT OF IMMEDIATE SUPERVISOR

A. RESEARCH INFORMATION

RESEARCH TITLE:
“ASSESSING THE KNOWLEDGE AND COMPREHENSION OF GRADE 3
LEARNERS THROUGH PROJECT “LIUSIM” LEARN INTERACTIVELY USING
INNOVATIVE MATERIALS”
SHORT DESCRIPTION OF THE RESEARCH

RESEARCH CATEGORY (check only RESEARCH AGENDA CATEGORY

one)
(check only one main research theme)

o National
o Teaching and Learning
o Region
o Human Resource Development
o Schools Division
o Governance
o District
o School
(check up to one cross-cutting theme. If
applicable)
(check only one)
o DRRM
o Action Research
o Gender and Development
o Basic Research
o Inclusive Education
o Others (please specipy):
__________

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

others)*

BERF
Personal Fund P 5,000.00
TOTAL AMOUNT P 5,000.00

*indicate also if proponent will use personal fund.

 B. PROPONENT INFORMATION

LEAD PROPONENT / INDIVIDUAL PROPONENT

LAST NAME: FIRST NAME: MIDDLE NAME:

LAGAN CAREEN ACOSTA
BIRTHDATE (MM/DD/YYYY) SEX: POSITION/DESIGNATION:
02/27/1987 FEMALE TEACHER III

REGION / DIVISION / SCHOOL (whichever is applicable)

MIMAROPA Region/ Schools Division of Palawan/ Brooke’s Point Central School
CONTACT NUMBER 1: CONTACT EMAIL ADDRESS:
NUMBER 2:
09751164392 careen.lagan@deped.gov.ph
09380732871
EDUCATIONAL ATTAINMENT TITLE OF THESIS/ RELATED RESEARCH PROJECT:
(DEGREE TITLE)Enumerate from
bachelor’s degree up to doctorate
degree

Bachelor of Elementary Education

Masters of Arts in Education
Complete Academic Requirement in
Doctor of Philosophy(CARDP)
Major in Educational Management
-Dissertation 1
SIGNATURE OF PROPONENT:

IMMEDIATE SUPERVISOR’S CONFORME

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 office
functions.

LEAH O. PERALTA
Name and Signature of Immediate Supervisor
Position/Designation: School Principal
Date : January 22, 2024
ANNEX 2: DECLARATION OF ANTI-PLAGIARISM

DECLARATION OF ANTI-PLAGIARISM

1. I, CAREEN A. LAGAN,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 hereby attest to the originality of this research proposal and has cited properly all the
references used. I further commit that all deliverables and the final research study
emanating from his proposal shall be of original content. I shall use appropriate citations
in referencing other works from various sources.

3. I understand that vilation from this declaration and commitment shall be subject to
consequences and shall be dealt with accordingly by the Department of Education and
(insert grant mechanism).

PROPONENT : CAREEN A. LAGAN

SIGNATURE : ___________________

DATE : January 22, 2024

ANNEX 3 :

DECLARATION OF ABSENCE OF CONFLICT OF INTEREST

1. I, CAREEN A. LAGAN understand that conflict of interest refers to situations in

which financial or other personal considerations may compromise our judgement in
evaluating,conducting, or reporting research.

2. I hereby declare that I do not have personal conflict of interest that may arise from our
application and submission of our research proposal . I understand that my research
Proposal may be returned if found out that there is conflict of interest during the initial
screening as per (insert 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 will duly report it to the
research committee for immediate action.

4. I undestand that I may be held accountable by the Department of Education and

(insert grant Mechanism) for any conflict of interest which I have intentionally
concealed.

PROPONENT : CAREEN A. LAGAN

SIGNATURE : ___________________

DATE : January 22, 2024

ANNEX 4.

CERTIFICATE OF CONCEPT ALIGNMENT OF RESEARCH TO SCHOOL PLAN

This is to certify that the research to be undertaken by CAREEN A. LAGAN

Name of Local Proponent
in Brooke’s Point Central School
Name of School is in accordance to the set plan/s of the school/division
as stipulated in the School Improvement Plan (SIP) or Division Education Development
Plan (DEDP).

PATERNO S. MARQUEZ JR.

NAME AND SIGNATURE OF DISTRICT HEAD

Date: January 22, 2024

 Republic of the Philippines
Department of Education
MIMAROPA Region
SCHOOLS DIVISION OF PALAWAN
SOUTH BROOKE’S POINT DISTRICT

ENDORSEMENT

January 22, 2024

ROGER F. CAPA, CESO VI

Schools Division Superintendent
Division of Palawan
Puerto Princesa City

Sir:

Respectfully submitted to Roger F. Capa, CESO VI, Schools Division

Superintendent, Division of Palawan, Puerto Princesa City, the herein proposed
Action Research of CAREEN A. LAGAN of BROOKE’S POINT CENTRAL SCHOOL
entitled “ASSESSING THE KNOWLEDGE AND COMPREHENSION OF GRADE 3
LEARNERS THROUGH PROJECT “LIUSIM” LEARN INTERACTIVELY USING
INNOVATIVE MATERIALS”.

Anticipating for positive action on this matter.

Very truly yours,

PATERNO S. MARQUEZ, JR.

Public Schools District Supervisor
“It is easier to build strong children than to repair broken man.”
-Frederick Douglas

South Brooke’s Point District, Brooke’s Point, Palawan