Innovation Templates

Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF AURORA
ANNEX 2 – TECHNICAL GUIDELINES
1. All documents containing proposals for innovation projects must adhere to the
following standard format:
Paper Size: A4 size (8.27 x 11.69 inches)

Font Style and Size: Bookman Old Style; 11
Margins: 1 inch on all sides
Spacing: Single
2. Ensure all in-text citations and lists of references are made by APA 7th edition
guidelines
Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201
Telephone No.: (042) 7249190 local 1010
Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

ANNEX 3: REQUISITE COMPONENTS FOR AN INNOVATION PROJECT

PROPOSAL OUTLINE
A. Endorsement from the Head of the Office
B. General Information
I. Implementing Identity (Division/Unit/Section)

II. Project Proposal Title
III. Type of Innovation
IV. Brief Description of the Proposal
V. Scope of Implementation
VI. Implementation Period
VII. Total Funding Requirement
C. Background and Rationale
D. Project Description
I. Goal
II. Outcome
III. Objectives
IV. Inputs
V. Expected Outputs
VI. Logical Framework
E. Methodology
I. Method
II. Project Beneficiaries
III. Impact Estimation
IV. Work and Budget Plan
V. Monitoring and Evaluation Plan
VI. Exit Plan
F. References

ANNEX 4: INNOVATION PROJECT PROPOSAL TEMPLATE
I. Proponent/s
(Write the name/s of the proponent/s, positions, and brief description of roles
and responsibilities in the Innovation Project)
Lead (Name)
Proponent: (Position)
(Brief Description of Roles and Responsibilities in the Innovation Project)
Co-Proponent*: (Name)
(Position)
Co-Proponent*: (Name)
(Position)
*If needed.
II. Implementing Entity:

(Indicate the Functional Division/Unit/Section/School)
III. Type of Innovation

(Indicate the type of Innovation: Process or Product)
IV. Brief Description of the Proposal:

(Briefly describe the innovation in terms of its type, project target, usage or
application, and its significance)

V. Scope of Implementation:
(Specify the Scope: Regional/Division/School)
VI. Total Funding Requirement:

(Indicate the amount of funds needed for the innovation project and source)
VII. Implementation Period:

(Please specify the duration for implementing the innovation project)
VIII. Background
(Please provide the circumstances or situation that led to the proposal for the
innovation project.)
IX. Rationale
(Indicate data-driven reasons why the innovation is necessary [refer to sources
of innovation], and what needs to be addressed or innovated)
X. Project Description
(Provide information for the following)
A. Goal:
B. Outcome:

C. Objectives:
D. Inputs:
E. Expected Outputs:
F. Logical Framework (LogFrame)

(Lay out the overview process, inputs, activities, outputs, and outcome)
XI. Methodology
A. Method (Briefly discuss the design)
B. Target Beneficiary
C. Impact Estimation
D. Work and Budget Plan

(Action Plan reflecting specific strategies, activities, and resources)

Phase Activity Time Resources Budgetary Expected

Frame Human Material Financial Requirement Output/s
Pre-
Impleme
ntation
Impleme
ntation
Post-
Impleme
ntation
E. Monitoring and Evaluation Plan
No. INDICATOR BASELINE TARGET DATA FREQUENCY RESPONSIBLE REPORTING

SOURCE
(What is (What is (How often (Who will (Where will
the the (How will it will it be measure it?) it be
current target be measured?) reported?)
value?) value?) measured?)
F. Exit Plan
(Exit strategy should clarify how your project will be brought to a close while
sustaining its benefits)
Plan Component/Method Action Steps Timeline

ANNEX 5 – DECLARATION OF ANTI-PLAGIARISM AND ABSENCE OF CONFLICT

OF INTEREST
Declaration of Anti-plagiarism
1. I/We, ___________________________, ___________________________,

___________________________, 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 acknowledgment and referencing.
2. I/We hereby attest to the originality of this innovation project proposal and
have cited properly all the references used. I/We further commit that all
deliverables and the final innovation project emanating from the 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 of this declaration and commitment shall be

subjected to consequences and shall be dealt with by the Department of
Education.
___________________________________
Signature over Proponent’s Name
Date: ________________
___________________________________

Date: ________________
___________________________________
Date: ________________
Declaration of Absence of Conflict of Interest
1. I/We, ___________________________, ___________________________,

___________________________, understand that conflict of interest refers to
situations in which financial or other personal considerations may compromise
my judgment in implementing, evaluating, and reporting the innovation.
2. I/We declare that I/we do not have a personal conflict of interest that may arise
from my application and submission of my/our innovation proposal. I/We
understand that my/our innovation proposal may be returned to me/us if
found out that there is a conflict of interest during the initial screening.
3. Further, in case of any form of conflict of interest (possible or actual) which may
inadvertently emerge during the conduct of my/our innovation, I/we will duly
report it to the innovation committee for immediate action.
4. I/We understand that I/we may be held accountable by the Department of

Education for any conflict of interest which I/we intentionally concealed.
___________________________________
Date: ________________
___________________________________
Date: ________________

___________________________________
Date: ________________
ANNEX 9 – COMPLETED INNOVATION PROJECT REPORT TEMPLATE
I. Cover Page
II. Table of Contents
III. Executive Summary
IV. General Objective of the Innovation
V. Description of the Innovation
VI. Activities Undertaken during the Implementation
VII. Highlight Accomplishments/ Improvements made by the innovation in

the concerned area. Indicate the impact of the innovation to be
supported by statistical analysis.
VIII. Budget Utilization (Actual)
IX. Sustainability
X. Appendices
A. Approved innovation Proposal
B. Certificate of Utilization
C. Certificate of Adoption, if adopted by another school/office
D. Data Analysis Report/Actual Computation of Raw Data

E. Pictorials
F. Minutes of the Meetings, if there are
G. Attendance logs, if necessary
H. Other significant / relevant supporting documents
ANNEX 10 – CERTIFICATE OF UTILIZATION OF INNOVATION
Certificate of Utilization of Innovation
This is to certify that the innovation entitled __________________________________

_____________________________________________________________, introduced and
implemented by ____________________________________ was fully utilized from _________
to _________________________at ______(school or Office)_______________________________.
Given this, _________day of ______________,20__ at __(School/Office)_______.
________________________________
Head of Office

ANNEX 11 – CERTIFICATE OF ADOPTION OF THE INNOVATION PROJECT BY

ANOTHER SCHOOL/OFFICE
Certificate of Adoption of the Innovation
This is to certify that the innovation project submitted and approved by this office,
Title of innovation:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Proponent/s:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
School/Unit/Section/Division:
_______________________________________________________________
has been adopted and implemented by other concerned users/personnel from

_____(date)___to _______(date)____ as manifested through the attestation by the
school/unit/section/division head below. This is issued for whatever legal purpose it
may serve this____ day of the month of __________20____.

_________________________________________
Head of Office
ANNEX 13- OUTCOME AND IMPACT VALIDATION CERTIFICATE TEMPLATE
Certificate of Outcome and Impact Validation of Innovation
This is to certify that the outcome and impact of the innovation entitled________
________________________________________________________, introduced and
implemented by ______________________________________________was validated by the
Innovation Committee based on the End Project Impact and Outcome Evaluation
criteria prescribed in the Region’s Implementation Guidelines on Innovation
Management.
Given this __________day of _____________, 20____ at ________school/Office___.
Recommending Approval:
______________________________________________________________
Assistant Schools Division Superintendent
Approved:
______________________________________________________________
Schools Division Superintendent

Innovation Templates

Uploaded by

Copyright:

Available Formats

Innovation Templates

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Innovation Templates

Uploaded by

Copyright:

Available Formats

Republic of the Philippines

ANNEX 2 – TECHNICAL GUIDELINES

Paper Size: A4 size (8.27 x 11.69 inches)

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

ANNEX 3: REQUISITE COMPONENTS FOR AN INNOVATION PROJECT

A. Endorsement from the Head of the Office

I. Implementing Identity (Division/Unit/Section)

C. Background and Rationale

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

ANNEX 4: INNOVATION PROJECT PROPOSAL TEMPLATE

II. Implementing Entity:

III. Type of Innovation

IV. Brief Description of the Proposal:

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

VI. Total Funding Requirement:

VII. Implementation Period:

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

F. Logical Framework (LogFrame)

A. Method (Briefly discuss the design)

D. Work and Budget Plan

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

Phase Activity Time Resources Budgetary Expected

E. Monitoring and Evaluation Plan

No. INDICATOR BASELINE TARGET DATA FREQUENCY RESPONSIBLE REPORTING

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

ANNEX 5 – DECLARATION OF ANTI-PLAGIARISM AND ABSENCE OF CONFLICT

1. I/We, ___________________________, ___________________________,

3. I/We understand that violation of this declaration and commitment shall be

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

Declaration of Absence of Conflict of Interest

1. I/We, ___________________________, ___________________________,

4. I/We understand that I/we may be held accountable by the Department of

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

Email Address: aurora@deped.gov.ph; Website: https://www.depedaurora.ph

ANNEX 9 – COMPLETED INNOVATION PROJECT REPORT TEMPLATE

II. Table of Contents

III. Executive Summary

IV. General Objective of the Innovation

V. Description of the Innovation

VI. Activities Undertaken during the Implementation

VII. Highlight Accomplishments/ Improvements made by the innovation in

VIII. Budget Utilization (Actual)

Address: Sitio Hiwalayan, Brgy. Bacong, San Luis, Aurora 3201

Telephone No.: (042) 7249190 local 1010

1. I/We, _, _,

1. I/We, _, _,

Given this, _day of ,20 at (School/Office)_.

Given this ____day of _, 20 at school/Office_.