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RATIONALE AND REVIEW OF RELATED LITERATURE

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Relevant Theories

Related Literature

Related Studies

Conceptual Framework

Statement of the Problem

Hypothesis

Significance of the Study

Scope and Delimitations

METHOD

Type of Research

Population and Sample of the Study

Research Instrument

Data Gathering Procedure

Ethical Consideration

Data Processing and Statistical Treatment

RESULTS AND DISCUSSION

Conclusions

Recommendations

Dissemination and Advocacy Plans

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REFERENCES

A. Books

B. Journals

C. Published Dissertations

D. Unpublished Theses

E. Electronic References

F. Publications

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A. Time Table

Activities Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

B. Cost Estimates

Activity Objective Amount

Needed

TOTAL

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C. Instrument

D. Declaration of Anti-Plagiarism

I, WILLET S. PEREZ, 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.

I hereby attest to the originality of this research proposal and has cited properly all

the references used. I further commit that all deliverables and the final research study

emanating from this proposal shall be of original content. I shall use appropriate citations

in referencing other works from various sources.

I understand that violation from this declaration and commitment shall be subject

to consequences and shall be dealt with accordingly by the Department of Education and

Region 3 Basic Education Research Committee.

Proponent: WILLET S. PEREZ

Signature: _____________________

Date: August 22, 2019

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E. Declaration of Absence of Conflict of Interest

I, WILLET S. PEREZ, understand that conflict of interest refers to situations in

which financial or other considerations may compromise my judgment in evaluating,

conducting, or reporting research.

I hereby declare that I do not have any personal conflict of interest that may arise

from my application and submission of my research proposal. I understand that my

research proposal may be returned to me if found out that there is conflict of interest

during the initial screening as per RMG provision.

Further, in case of any form of conflict of interest (possible or actual) which may

inadvertently emerge during the conduct of my research, I will duly report it to the

research committee for immediate action.

I understand that I may be held accountable by the Department of Education and

Region 3 Research Committee for any conflict of interest which I have intentionally

concealed.

Proponent: WILLET S. PEREZ

Signature: ____________________

Date: August 22, 2019

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F. Sample Consent and Assent Forms

Consent Form

I have been asked to participate in a research study conducted by [name(s) of

researcher(s) and email(s)—phone number(s) can be added if researchers prefer to use
that method], of San Vicente - San Francisco High School.

INTRODUCTION: Below is a description of the research procedures and an explanation

of my rights as a research participant.  In accordance with the policies of DepEd Division
of Pampanga, I have been asked to read this information carefully. If I agree to
participate, I will sign in the space provided to indicate that I have read and understood
the information furnished on this consent form. I am entitled to and will receive a signed
copy of this form.

PURPOSE: The purpose of this research is [give brief description of study purpose here].

DURATION AND LOCATION OF STUDY: If I agree to participate in this study, my

participation will last for approximately [duration estimate] and will take place at
[location].

PROCEDURES: During this study, I will be asked to [insert brief description of what the
participant will do].

POTENTIAL RISKS AND DISCOMFORTS: [describe any that are known] OR I

understand there are no known or anticipated risks associated with participation in this
study.

BENEFITS: A benefit to me of participating in this study is an increased understanding

of how research is conducted. [Include additional benefits, if any. PLEASE NOTE that
course credit, money, gift cards, etc. are part of COMPENSATION instead of a benefit so
such information belongs below.]

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CONFIDENTIALITY: I understand the data collected in this study will be kept

confidential unless disclosure is required by law.  [Insert specifics such as: Specifically,
the researcher will use a code number instead of my name on my data sheet. The code
number and names will be kept separately from each other in a secure location.] After
four years all personally identifying information will be destroyed. [If this an
ANONYMOUS study, explain that.]

COMPENSATION FOR PARTICIPATION: I will receive [insert reimbursement or, “no

reimbursement”] for my participation in this study.

RIGHT TO REFUSE OR WITHDRAW: I understand that my participation is voluntary.

I may refuse to participate or discontinue my participation at any time; there will be no
penalty for doing so and I will still receive my compensation as explained above. Some
details of this project may not be made known to me until my session is completed. I
realize at the completion of the session that I have the option of withholding the
responses I have provided from subsequent analysis. I also understand that the researcher
has the right to withdraw me from participation in the study at any time.

OFFER TO ANSWER QUESTIONS: If I have any questions about this study, I may call
the researcher, [insert name of researcher and/or faculty member supervising this research
with email address and/or phone]. If I have questions about my rights as a participant, I
may contact the DepEd Division of Pampanga - San Vicente - San Francisco High
School.

*I CERTIFY THAT I AM AT LEAST 18 YEARS OLD AND I AGREE TO

PARTICIPATE IN THIS RESEARCH PROJECT.

PARTICIPANT'S SIGNATURE DATE

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PERSON OBTAINING CONSENT:
I have allowed the individual named above the time to read this consent form and have
answered any questions that have been asked. I will provide the participant with a copy
of this consent form.

RESEARCHER'S SIGNATURE DATE

Assent Form

I, understand that my parents/guardian have/has given permission for me to participate in

a study concerning under the direction of .

My participation in this project is voluntary and I have been told that I may stop my
participation in this study at any time without penalty and loss of benefit to myself.

Signature

G. Scanned Copy of Landbank ATM Card

Landbank of the Philippines - Apalit Branch

Specimen Signatures:
______________________________________
______________________________________
______________________________________

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