INFORMED ASSENT FORM FOR MINORS OR CHILDREN

Adapted from the WHO Informed Consent Template

Retrieved from http://www.who.int/rpc/research_ethics/informed_consent/en/

PART I: INFORMATION SHEET

INTRODUCTION

Greetings of Peace!

I am a student teacher from PHINMA Cagayan de Oro College taking up

Bachelor of Secondary Education Major in Filipino, writing my Classroom-Based

Action Research study titled “Improving Students Speaking Skills Through Oral

Recitation Strategy”, under the course of EDU 541: Teaching Internship. I am

asking for your consent as I conduct this action research which is about

establishing your participation in class. Any concerns and questions about the

action research will be catered to by the student teacher-researcher themselves

before I conduct this study.

The purpose of the research is to determine the effectiveness of speaking

skills through oral recitation strategy. For me to gather the necessary

information that I need for my research study. I am here to look for willing

participants. I chose you as one of my participants to participate in my research.

Regarding that, I am inviting you to participate in my research study.

You might have doubts and fear about the said research about the tests, but

you are encouraged to tell me if you feel any discomfort during the tests of my

study, and you may choose not to participate if your parents wish not to include you

in the said study.

PHINMA COC College of Education EDU 541: Teaching Internship

 You will be guaranteed that you will just answer the questionnaires and that

there will be no related dangers, stressors, or inconveniences. If there are any

terms or concepts that you do not understand, you will be instructed to ignore those

items and will not be compelled to answer the associated question or ask the

assigned person for clarification.

There will not be any direct benefit to you in participating in this study, but

you will help the student teacher-researcher to gather the necessary information

that I will be needing. Any information collected from you during your participation in

this study will be kept confidential by the student teacher-researcher.

The student teacher-researcher will store the completed test questions and

analysis notes in a safe and password-protected file that only the principal

investigator has access to.

If you agree to participate in this study, you will be required to participate in

answering the pre-test and post-test questionnaires during the implementation. If

you experience any discomfort in participating in this study, you may withdraw your

participation. If you withdraw from this participation, the student teacher-researcher

will assure you that all information will be discarded and will not be included and

presented in the final version of the paper.

WHO TO CONTACT

Below are the names and contact information of people you may contact

PHINMA COC College of Education EDU 541: Teaching Internship

 Student Teacher-Researcher:

Name: Bonafe Bentoy Suello

bobe.suello.coc@phinmaed.com

Cooperating Teacher:

Name: Jade M. Jagape

Student Teacher Supervisor:

Name: Arniel Paler Bangalao, LPT

apbangalao.coc@phinmaed.com

PHINMA COC College of Education EDU 541: Teaching Internship

 PART II: CERTIFICATE OF CONSENT

I, , give my permission to participate in the Classroom-Based

Action Research study entitled, “Improving Students Speaking Skills Through
Oral Recitation Strategy” The study has been explained to me, and my questions
were answered to my satisfaction. I understand that my right to withdraw from
participating or refuse to participate will be respected and that my responses and
identity will be kept confidential. I give this consent.

I have read this information (or had the information read to me). I have had my
questions answered and know that I can ask questions later if I have them.

I agree to take part in the research.

Print Name of Child:

Signature of Child:
Date

PHINMA COC College of Education EDU 541: Teaching Internship