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RESEARCH ETHICS CLEARANCE FORM

For Thesis Proposals


Names of Student Researcher(s):

Irish Lara A. Arce

Arnon Charles R. Berberabe

Erin A. Bulanhagui

Kirstine Clea V. Castillo

Marjohry Andrei Dela Cruz

Rheyvhen A. Gonzales

Janah Miel Laura

Sophia Ysabelle R. Mabini

Vivienne Giannella G. Panopio

Blossom I. Salazar

Kevin Yao

Research Project Title:

Partnership for Good Health and Well-being

College: Integrated School


Department: Junior High School
Course: English 10 and Capstone 10
Expected Duration of the Project: from: February 2023 to: April 2023
Ethical considerations:
Ethical Considerations:
Necessary measures were taken to keep the anonymity and confidentiality of the information from the respondents. Informed consent was sought from the
respondents (parent's consent for minors) before they participated in the survey and interview.
To the best of my knowledge, the ethical issues listed above have been addressed in the research.

CLARISSE C. MOREN
_________________________________
Name and Signature of Adviser
Date:

Noted by:

RINA UY
_______________________________________
Name and Signature of the Teacher in Charge
Date:

Reviewed by:

_________________________________
Research Ethics Review Representative
Date:
Recommendation:
( ) Full Review (for endorsement to ORP)
( ) Expedited Review (for RER Council Rep review)
( ) Exempted from Ethics Review

Noted by:

___________________________________________ Name
and Signature of the Department Chairperson
Date:

_____________________________
Name and Signature of the Dean
Date:

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