You are on page 1of 1

Republic of the Philippines

Department of Education
Region IV-A
Division of Antipolo
Victory Elijah Christian College
Lourdes Subdivision, Mambugan, Antipolo City
Appendix A

Letter of Request and Consent Form

(Date)

Warm Greetings!

We, the Senior High School (Your Strand) students from Victory Elijah Christian
College are asking for your permission to participate in our survey about (Your Research Title).
The survey is comprised of close-ended and open-ended questions to find out (Short
Background/ info about the study). Rest assured that any information you disclose will be kept
confidential and strictly for academic purposes only.

We are looking forward to your positive response regarding this matter as you are a
significant element in the fulfillment of our research. Thank you for taking the time to read this
letter.

Respectfully Yours,

(Name of Researchers)

Noted by:

Mary Grace E. Morfe, L.P.T


Researcher Teacher

You might also like