PEAC National Secretariat

5th Floor Salamin Bldg., 197 Salcedo St.

Legaspi Village, Makati City
Tel. No.: (02) 840-6000
Fax No. No.: (02) 511-7695
Website: www.peac.org.ph

Research for School Improvement Towards Excellence (RSITE) Program

APPLICATION FORM 1x1 picture

Name of Applicant:
Last Name First Name Middle Name
Permanent Address:

Mailing Address:

Citizenship: Gender: Civil Status: Age:

Telephone No.: Mobile No.: Email Address:
Employer: Is your school participating in the GASTPE Program?
Yes  No 
Address: Region:
Department:
Position/Rank/Title: Years of Service:
Subject/s Taught This School Academic Level (Elementary, Other Assignments (administrative,
Year/Semester High School, College) research, etc.)

School Enrolled: Region:

College/Department:
Degree: Comprehensive Exam Result:
Adviser/s:

Title of Thesis/Dissertation:

For the use of the PEAC National Secretariat I certify that the above information is true
Date Received: and correct.
Checking: Date:
Action Taken Evaluation: Date:
Approval: Date: Signature and Name of Applicant
Grant Period: Date:
 PEAC National Secretariat
5th Floor Salamin Bldg., 197 Salcedo St.
Legaspi Village, Makati City
Tel. No.: (02) 840-6000
Fax No. No.: (02) 511-7695
Website: www.peac.org.ph

1. Significance to individual improvement. Explain how the research will help you develop as a practitioner.

2. Significance to school improvement. Describe the school need that the research addresses and explain
how the research will contribute to school improvement.

3. Dissemination and Utilization. Discuss plans for dissemination and utilization of your research findings
by fellow practitioners and/or administrators in your school.