INFORMED CONSENT

Date: October 2, 2018

Dear participants,

Greetings!

We are students from National University who are taking Bachelor of Science major in Psychology
conducting a study entitled “Fire Out: Challenges and Coping Mechanisms of Female Volunteer
Firefighters”.
In line with this, we would like to request you to be one of our participants in the said study. We will be
conducting an open-ended interview, which can be accomplished within 1 hour. We would like to reassure
you that your responses will be kept confidential.
Should you have any questions about the procedure, kindly direct them to the undersigned or call this
member. Our thesis adviser is Mr. Lyle De la Cerna, MA, RPm, CSIOP and our research leader is Ms.
Hazel Margareth Betic. You can contact them for some clarification.

Thank you very much.

Sincerely yours,

_________________________
Hazel Margareth Betic

____________________________________________________________________________________

REPLY

I have read and understood the consent presented above and: I am willing to participate in this study.

I am NOT willing to participate in this study.

By my signature, I affirm that I agree to take part in this study as a research participant.

_______________________________________ ___________________________

Signature over Printed Name Date