SALIKHA: CHED – NCCA GRANTS FOR CREATIVE PROJECTS OF THE K TO 12 TRANSITION PROGRAM Concept Proposal Form
I. Profile of Institution Lead HEI HEI Name Unique Institutional Identifier (UII) HEI Type Address Contact Person Designation Contact Number(s) Email Address
Collaborating HEI(s) (To be accomplished if applicable; replicate table as necessary) HEI Name Unique Institutional Identifier (UII) HEI Type Address Contact Person Designation Contact Number(s) Email Address
II. University Research Council/Institutional Research Board Do you have an existing University Research Council, URC (for Universities) or Institutional
Research Board, IRB (for Colleges)?
Yes ☐
No ☐
If Yes, provide the following details: Name of URC/IRB Head: ______________________________ Address: ____________________________________________ Contact Nos.: ________________________________________ Email: ______________________________________________ Is the project proposal approved by your URC/IRB?
Yes ☐
Is the project proposal approved by your Ethics Committee? Yes ☐
Not yet ☐ No ☐ Not yet ☐ No ☐
III. Financial Status (Lead HEI) Has this proposal been submitted to another agency for funding?
Yes ☐
No ☐
If Yes, what agency, when and what was the decision: ______________________________ Does your institution have any pending financial obligation to CHED? Yes ☐ If Yes, please indicate details: Under which CHED office / unit / program: ______________________________ Total amount due: Php __________________________ Due date: __________________________
No ☐
IV. Project Information Project Title
The title should be brief, clear, and descriptive. ☐ Single discipline, specify the discipline: ___________________ ☐ Multidisciplinary, specify the disciplines involved:
Project Type
Project Description
o o o o o
Discipline 1:____________________ Discipline 2:____________________ Discipline 3:____________________ Discipline 4:____________________ Discipline 5:____________________
(Maximum of 2,000 words. Please use additional sheet as necessary.) o Background: State the current situation in the discipline, institution, local or national community, which influenced or inspired you to design and organize the project. Define the problem or issue which the project hopes to address. If possible, cite data to describe the situation. o Objectives: Explain the relevance and objectives of the project, and how it will impact higher education and Philippine arts and culture. Describe the change which may occur in behaviour, structures, or capacities of the target groups which directly result from the utilization of the outputs or results of the project. o Results/ Outputs: Describe the expected results and outputs of the project.
o Indicators: Identify the indicators to determine success of the project. Indicators should be measurable either quantitatively or qualitatively. o Activities: Identify the activities to be carried out in order to achieve the desired results/ outputs. o Multidisciplinarity: If applicable, describe the collaboration between the disciplines involved. Project Duration
Specify project duration. Note that projects have a minimum duration of one (1) year to a maximum duration of two (2) years
V. Work and Financial Plan Project Activities Provide information on the various activities of the project, expected output/ result, and implementation schedule, and the required funding. Add rows as necessary. Activity
Output/ Result
Cost
Timeframe
Project Cost Provide information on the total cost of the project including breakdown and counterpart funding from other sources. Item
Counterpart Funding1
CHED Funding
TOTAL
Honorarium for Team Leader Php 8,800 per month7 -
Salary for Team Member Add row per team member. Allowable amounts8 are*: (SG - 18) - Php 33,452 per month (max) (SG - 16) - Php 28,417 per month (SG - 12) - Php 20,651 per month *For team members from Private HEIs, whichever is the equivalent SG.
Venue Rentals Specify type (per day x ## days) Accommodations Specify type (per person x ## days) Food (per person x ## days) Transportation (per person x ## days) Materials Supplies Printing and reproduction Others Specify Communications Research Books Journals Others Specify Miscellaneous Specify TOTAL *Include all funding support from participating HEIs or other external sources
1 CHED Order (CO) No. 2, s. 2011: Implementing Guidelines on the Grant of Honoraria for CHED-Funded Programs and Projects 8 Executive Order 201, s. 2016 - First Tranche of Salary Standardization
VI. Team Composition Full name
Institutional Affiliation
(Last name, First name, Middle name)
(Full Institutional Name, no abbreviations)
Highest Educational Attainment and Discipline (e.g. MS Marine Biology)
Research Team Leader/ Individual Proponent (If individual proponent, must be deloaded) 1. Research Team Members (Team members must be deloaded) 1. 2. 3. 4. 5. 6. 7. 8. 9.
Omnibus Certification By signing this form,
I certify that the information indicated are valid, authentic, true and correct based on my own personal knowledge and based on documents in my possession. I certify that the persons detailed in this project proposal are capable of the undertaking, are cognizant and are accepting the commitment, and are of good moral character. I certify that the researchers involved in the project are deloaded due to K to 12.
 
I agree that the Commission shall use the information for administrative purposes and for whatever purpose deemed essential for monitoring the progress of my study abroad. I acknowledge that the Commission will keep all information strictly confidential and shall not reveal to any person or entity or use any information at any time unless expressly directed by government or required by law.
SUBMITTED BY:
______________________________________ (Signature over printed name of Team Leader) Date:
REVIEWED AND ENDORSED BY:
______________________________________ (Signature over printed name of Lead HEI Head) Date:
Conforme:
_____________________________________ (Signature over printed name of Team Member) Date:
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Date:
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