College of Arts and Sciences Education

2nd Floor, DPT Building

Matina Campus, Davao City
Telefax: (082)
Phone No.: (082)300-5456/305-0647 Local 111

Informed Consent

Good day!

The following will provide you the information about the study that will help you decide
whether or not you wish to participate. If you agree to participate, please be aware that
you are free to withdraw at any point throughout the duration of the study without any
penalty.

In this study, all information you provide will remain confidential and will not be
associated with your name. If, for any reason, you do not feel comfortable, you may
refuse to answer and receive credit for the time you participated, and your information
will be discarded. Your participation in this study will require approximately (duration of
the interview or survey). When this study is complete, you will be provided with the
results, and you are free to ask any question regarding the results of the study.

If you have further questions concerning this study, please feel free to contact us
through phone or email at (phone and email address).

Your participation is solicited yet voluntary. All information will be kept confidential and
your name will not be associated with any research result.

Please affix your signature on the space below indicating that you understand your
rights and that you agree to participate in the study. Thank you very much.

___________________________ ____________
Name and Signature of Participant Date