Republic of the Philippines

Department of Education
Region XII
Kidapawan City Division
KIDAPAWAN CITY NATIONAL HIGH SCHOOL
Roxas St., Kidapawan City

Informed Consent Form

I, ,
years old, and a resident of

express that the researchers informed me on the nature and purpose of their study, the
reasons why I was selected as participants, the benefits, and risks of my participation, my
right to end my involvement without need of explanation, my right to ask questions about
my participation, to answer questions and / or refuse to answer some questions.
Moreover, the researchers assured me that my answers would be kept confidential
and my identity shall be anonymous. They informed me of the need to record the
interviews and that they will give me a printed copy of such transcript so I can
review my answers, remove or add portions of my explanation. They told me that I could
be asked later to validate the results of the study and to make suggestions to
improve the same.
Given all conditions, I agree to participate in this study by signing this Informed
Consent Form.

Participant

Name Signature Date