PART I : INFORMATION SHEET

TITLE OF CI BASED ACTION RESEARCH

EDMODO: A Web Based Tool for the Academic Performance inScience
Grade 6 Mars Pupils of West City Central School
NAME OF AUTHOR and CO AUHTORS (if any):
Ezra Eve S. Eguia and Hazel P. Montimor
INDICATE
THE
RESEARCHER/s:

DESIGNATION

and

CONTACT

ADDRESS

OF

Ezra Eve S. Eguia, T I : L7 B4, Pluto St., Phase I, Mega Heights Subd.,
Gusa, Cagayan de Oro City
Hazel P. Montimor, T II : Gran Europa, Pueblo de Oro, Cagayan de Oro
City
INTRODUCTION
We are the Special Subject Teachers of West City Central School
conducting this CI Based Action Research in order to help improve the
academic performance in Science 6 of Grade 6 pupils through a more interactive
learning using hypermedia intervention tool.
AIM OF THE STUDY
The researchers aim to develop interactive learning pedagogy of teachers
by using hypermedia in order to improve the academic performance of pupils in
West City Central School not only in Science but all subject areas. So, that the
pupils will thoroughly understand the lesson and develop the skills needed.
PARTICIPANT SELECTION: Grade Six (6) Mars Pupils
VOLUNTARY PARTICIPATION
Please be reminded that this research is not compulsory for you to answer.
This a voluntary participation. You may choose to participate or not at all.

PART II CERTIFICATE OF CONSENT

Please put your initial
inside the BOX

1. I confirm that I have fully understood the information

Given to me by the researcher/s for the above study and
I have had the opportunity to ask questions to the researcher/s.
2. I understand that my participation in this study is voluntary and
That I am free to withdraw at any time without prejudice.
3. I agree to take part in the above study.
4. I agree to the interview/focus group discussion / consultation
Being audio recorded (if not, omit this item)
5. I agree to the interview /focus group discussion/ consultation
Being video recorded (if not, omit this item)
6. I understand that while information gained during the study
May be published, I will not be identified and my personal results
Will remain confidential.
_______________________

Name of Participant

_______________________

Name of Researcher

___________________

Date

___________________

Date

_________________

Signature

_________________

Signature

If interviewed pupils/students, consider the parents presence and consent:

_______________________

Name of Parent/Guardian

___________________

Date

_________________

Signature

Note:
1) The signed consent forms shall be stored securely by the CI Based action
researcher/s. Append one (1) sample copy of used consent form in the final paper
2) If researchers will conduct interview with pupils/students below 18 years old, the
language used shall be at a level appropriate to the childs age and development.