This form must be accomplished

triplicate
in :
1 copy for the Researcher
) (s
1 copy for the Research Adviser
1 copy for the Research Coordinator

TALAVERA SENIOR HIGH SCHOOL

Roxas Street, Pag-asa District, Talavera, Nueva Ecija

REQUEST FOR RESEARCH ADVISORY COMMITTEE

Dear Sir/Madam:

We are the Grade 12 student-researchers from Talavera Senior High School seeking for your kind
assistance to be our panel member(s) on ___________________. Your knowledge and input is highly
beneficial for our study. Hoping for your kind consideration. Thank you very much.

Respectfully yours,
The Researchers

Proposed Title:
EFFECTIVENESS OF BRIDGING PROGRAM TO THE OFF-TRACK STUDENTS OF
COLLEGE FOR REASEARCH AND TECHNOLOGY OF CABANATUAN

Leader: Jay Clarence v. Galvez_____________________________________________________

Asst. Leader: Janelle DP. Inda___________________________________________________________

Members: Bernadette Claire S. Sales_________ _______________________________

Arnie Jhoy V. Fernando ____________ _

John paul C. Ambas__________ ________________

Kyla Nicole A. Abadines____________ ________________________________

Rence Jonsel B. San Pedro__________ _______________________________

Bernadette Claire S. Sales__________ ______________________________

Airis Joy M. Canosa______________ _________________ ___________

Recommended by:

__________________________________
Name over Signature of the Research Adviser

APPROVED FOR THE ADVISORY COMMITTEE:

Member Member Member

MARISSA B. REYES
 Research Coordinator

APPROVED FOR THE STRAND: APPROVED:

__________________________________ ERICSON L. NEPOMUCENO, PhD

Name over Signature of the Group Head Assistant School Principal II

MARY JANE M. ALVAREZ

School Principal II

Address: Roxas Street, Pag-asa District, Talavera, Nueva Ecija

300864
Mobile No.: 09062945244|09283394668|09972875869
Email Address: talaveraseniorhighschool300864@gmail.com SCHOOL ID
Facebook: https://www.facebook.com/SHS.TalaveraNHS/