PROTOCOL PACKET: SUBMISSION CHECKLIST

ITEM NO. MANDATORY DOCUMENTS YES NO NA

1 Cover Letter ✔
2 Research Protocol Application Form ✔
3 Protocol Review Assessment Form ✔
4 Informed Consent Form (ICF) Checklist ✔
5 Study Protocol ✔
6 Informed Consent Form in English and Local Dialect ✔
7 Research participants recruitment procedure (if ✔
applicable)
8 Curriculum Vitae of Study Members ✔
9 Document Receipt Form ✔
10 Site Profile ✔
November, 2023

Prof. Maria Isabel Abucejo

Chairman, Ethics Review Board
Holy Name University
Janssen Heights, Dampas District,
Tagbilaran City, Bohol, Philippines 6300

Dear Prof. Abucejo,

Good day!

Attached herewith are the ethics review requirements of our proposed study entitled
“Academic-Work Role Conflict and Balance among Employed Students in
Holy Name University”. We have also attached a copy of our Chapter 1 as well as
our survey questionnaire.

We thank you for your unending dedication in making sure that our study will be of
standard. Your advice and insights will be very helpful to further improve our outputs.
God bless and more power!

Respectfully yours,

Bulaga, Hazel Ann

Golosino, Nilo III
Leornas, Desiree Ann
Nemenzo, Angelo Matthew
Vistal, Jassen Niña

Noted by:

Prof. Biendino U. Aurestilla, RPm, MA-Psy

Content Adviser
 RESEARCH PROTOCOL APPLICATION FORM

HNU-ERB Code:
Protocol Title: Academic-Work Role Conflict and Balance among Employed
Students in Holy Name University

1 Date of Submission: November 13, 2023

Type of Study (Basic Research, Basic Research
Survey, Clinical Trial, etc):
Expected number of participants: Minimum of 30 participants

Principal Investigators (Lead Researcher)

Full Name: Nilo Golosino III

Address: Tagbilaran City, Bohol
2
Position: Lead Researcher
Email address: golosino.nilo_iii@hnu.edu.ph
Contact #: 0976-170-9529

Declaration To be Signed by the Principal Investigator

● We are aware of the ethical aspects of this research project.

● We undertake to commit and submit the “Progress Report Form” to the
HNU-ERB.
● We will ensure that changes in approved research protocols are reported
promptly and are not initiated without approval by the HNU-ERB, except
when necessary to eliminate apparent immediate hazards to the participant.
● We will ensure that all adverse or unforeseen problems arising from the
research project are timely reported to the HNU-ERB.
● We will undertake to provide notification when the study is complete and if it
fails to start or is abandoned.

Signature: Date: November 13, 2023

FOR FURTHER INFORMATION, CONTACT:

HNU-ERB Admin Staff

Center for Research and Publications
Bates Bldg., Janssen Heights, Dampas Dist.,
Tagbilaran, Bohol
(038) 5017731 loc.107/5010125 loc 211
erb@hnu.edu.ph
PROTOCOL REVIEW ASSESSMENT POINTS

Please indicate in the space provided below whether the

TO THE specified assessment point is addressed by your study
PRINCIPAL protocol. To facilitate the evaluation of the assessment point,
INVESTIGATOR indicate the page and paragraph where this information can be
found.

Please evaluate how the assessment points outlined below

have been appropriately addressed by the study protocol, as
TO THE PRIMARY Applicable by confirming the submitted information and putting
REVIEWER your comments in the space provided under “REVIEWER
COMMENTS.” Finalize your review by indicating your
conclusions under “RECOMMENDED ACTION” and signing in
space provided for the primary reviewer.

To be filled by the Applicant

ASSESSMENT Indicate if the Page and REVIEWER’S COMMENTS
POINTS protocol paragraph
contains where it is
specified found
assessment
point
YES NO

1 Objectives ✔ page 1
2 Literature review ✔ Page 13
(Under
Theoretical
Background)
3 Research ✔ Page 23
Design
4 Sampling ✔ Page 23
Design
5 Sample Size ✔ Page 25

6 Statistical ✔ Page 30
Treatment
7 Inclusion criteria ✔ Page 25
8 Exclusion ✔ Page 26
criteria
9 Withdrawal ✔ Page 28
criteria
CONDUCT OF THE STUDY
1 Specimen ✔
handling
2 Researchers’ ✔ ERB
qualification PACKET
(CV)
3 Suitability of site ✔ Page 24
4 Duration ✔
ETHICAL CONSIDERATIONS (statements within research methodology that
will address to these...)
1 Conflict of ✔ Page 29
Interest
2 Confidentiality ✔ Page 29
and privacy
3 Informed ✔ Page 28-29
Consent
Process
4 Recruitment ✔ Page 28-29
5 Vulnerability ✔ Page 28-29
6 Assent ✔ Page 28-29
7 Risks ✔ Page 28-29
8 Benefits ✔ Page 28-29
9 Incentives and ✔
Compensations

RECOMMENDED ACTIONS
APPROVAL
MINOR MODIFICATIONS
MAJOR
MODIFICATIONS
DISAPPROVAL
JUSTIFICATION FOR
RECOMMENDATION
PRIMARY REVIEWER:

________________________ _________________
Signature over Printed Name Date

PANEL SECRETARY

________________________ _________________
Signature over Printed Name Date
PANEL CHAIR

________________________ _________________
Signature over Printed Name Date
 INFORMED CONSENT ASSESSMENT FORM
TO THE PRINCIPAL INVESTIGATOR
TO THE PRIMARY REVIEWER
To be filled by the Applicant
ASSESSMENT POINTS
YES
1 Statement of the
purpose of the study.
2 Statement on who can
participate in the study
3 Inclusion Criteria
4 Exclusion Criteria
5 Withdrawal Criteria
6 Statement concerning
the expected number of
participants in your
study.
Please indicate in the space provided
below whether or not the specified
element is addressed by the Informed
Consent Form (ICF). TO facilitate the
evaluation of the assessment point,
indicate the page and paragraph where
the information can be found.
Please evaluate how the elements
outlined below have been appropriately
addressed by the Informed Consent
Form (ICF), as applicable by confirming
the submitted information and putting
your comments in the space provided
under “REVIEWER COMMENTS.” In
your comments, ensure that
vulnerability, recruitment process, and
process of obtaining informed consent
are always assessed in the context of
the study protocol and the participant.
Finalize your review by indicating your
conclusions under “RECOMMENDED
ACTION” and signing in space provided
for the primary reviewer.
Indicate if the Page and REVIEWER’S
protocol paragraph COMMENTS
contains where it is
specified found
assessment
point
NO
✔ Page 1
✔ Page 25
✔ Page 25
✔ Page 26
✔ Page 28
✔ Page 28
and Page
25
7 Statement about the ✔ Page 24
location where the
research will take place.
8 Statement about the ✔ Page 27
data collection
procedure.
9 Statement concerning ✔ Page 29
the amount of time
participants needed to
take part in the study
10 Statement about when ✔ Page 29
will participant’s
participation ends.
11 Statement about the ✔ Page 28-
responsibilities of the 29
participant.
12 Statement about the ✔ Page 28
voluntary participation in
the study.
13 Statement if the ✔ Page 28-
participants belong or 29
considered and identified
as vulnerable.
14 Statement pertinent to ✔
the assent to take part in
the study. (if participants
are minors or under
special circumstances
requiring guardians or
legally authorized
representative)
15 Statement concerning ✔ Page 29
risks and how
researchers will protect
participants from these
risks.
16 Statement about the ✔ Page 21
benefits of participating
17 Direct benefits ✔ Page 21
18 Indirect benefits ✔ Page 21
19 Scientific Community ✔ Page 21
benefits
20 Societal benefits ✔ Page 21
21 Statement about Page 28-
management of new 29
information that may
influence the willingness
of the participant to
 continue participating in
the study.
22 Statement pertaining to ✔ Page 28-
participant’s decision to 29
opt out of the research
23 Statement about ✔
compensation, token, or
gift to be given to the
participant.
24 Statement concerning ✔ Page 29
the protection of the
participant’s information
and data

RECOMMENDED ACTIONS
APPROVAL
MINOR MODIFICATIONS
MAJOR
MODIFICATIONS
DISAPPROVAL
JUSTIFICATION FOR
RECOMMENDATION

PRIMARY REVIEWER:

________________________ _________________
Signature over Printed Name Date

PANEL SECRETARY

________________________ _________________
Signature over Printed Name Date

PANEL CHAIR

________________________ _________________
Signature over Printed Name Date
 STUDY PROTOCOL

Protocol Title: Academic-Work Role Conflict and Balance among Employed

Students in Holy Name University

HAZEL ANN BULAGA

beluga.hazel_ann@hnu.edu.ph
Contact Number: 0917- 105- 4271

ANGELO MATTHEW NEMENZO

nemenzo.angelo_matthew@hnu.edu.ph
Contact Number: 0960- 875- 0307

Nilo Golosino III

golosino.nilo_iii@hnu.edu.ph
Contact Number:

Desiree Ann M. Leornas

leornas.desiree_ann@hnu.edu.ph
Contact Number: 09101044546

JASSEN NINA VISTAL

vistal.jassen_nina@hnu.edu.ph
Contact Number: 09761709529

Research Location:

This study will be conducted at Holy Name University, Janssen Heights, J.A.
Clarin Street Dampas District 6300 Tagbilaran City, Bohol, Philippines.

Rationale:

The school plays a crucial role in shaping individuals during their formative
years. It provides a structured environment specifically designed for education, which
is essential for navigating the complexities of modern society. Education is viewed as
a transformative force, empowering individuals to reach their full potential. However,
the rising cost of education can make it difficult for students to finance their studies,
leading to dropout rates and hindering the nation's progress.

Despite these challenges, many students choose to balance work and

education, driven by a desire for personal growth and financial independence. Juggling
these responsibilities requires effective time management, discipline, and
perseverance, fostering essential life skills such as resilience, adaptability, and a
strong work ethic. Employed students bring real-world perspectives to the classroom,
enriching the learning environment for their peers. They also contribute to the
workforce and broader economy, making meaningful contributions to their
communities.
 However, balancing work and education can be challenging, leading to role
conflict. Employed students must manage conflicting expectations and demands, such
as meeting academic deadlines while fulfilling work obligations. To achieve success
in both domains, students can implement various strategies, including prioritizing
tasks, creating schedules, setting realistic goals, effective communication, flexibility,
self-care, and setting boundaries. These strategies help students optimize their
productivity, reduce stress levels, and achieve a harmonious balance between their
academic and work responsibilities.

Objectives:

To determine the academic and work role conflict

and balance and its significant relationship among employed students of Holy Name
University.

Study Design:

The study will use a descriptive-correlational type of research design, which

means observing, measuring without manipulating, and correlating between the
variables in the study.

Inclusion Criteria:

The inclusion criteria for participants will be: Currently enrolled as a student in
tertiary level at Holy Name University, Employed part-time on different
establishments/companies may it be online or face to face setup while pursuing their
studies, have been employed at least 6 months or more, and has the willingness to
participate voluntarily in the study.

Exclusion Criteria:

This study will not include students who are not employed in establishments or
companies while juggling work and their studies, and students who may be working
but are not employed for at least 6 months, and those that are not enrolled at Holy
Name University.

Number of participants:

The study would have a minimum of 30 employed student participants.

Study Duration:

This study is anticipated to conclude in January of the academic year 2023-

2024. It will span approximately 14 months, commencing from the previous semester.
 HOLY NAME UNIVERSITY
Janssen Heights, Dampas District 6300 Tagbilaran City, Bohol
Tel. Nos. (038) 501 - 7731; 253 -3934
Fax No. (038) 501 - 0125

Website: www.hnu.edu.ph

INFORMED CONSENT FOR THE STUDENTS OF HNU KEY INFORMATION

Study Title:
Academic-Work Role Conflict and Balance among Employed Students in Holy
Name University
Investigators:
Hazel Ann Bulaga, Holy Name University, CAS
Nilo Golosino III, Holy Name University, CAS
Desiree Ann Leornas, Holy Name University, CAS
Angelo Matthew Nemenzo, Holy Name University, CAS
Jassen Niña Vistal, Holy Name University, CAS
Faculty Advisor: Prof. Biendino U. Aurestilla, RPm, MA-Psy
Study Sponsor: N/A

INFORMATION SHEET

PURPOSE OF THE RESEARCH

The college students from Holy Name University taking up Bachelor of Science
in Psychology are conducting this undergraduate thesis as a requirement for our
Research in Psychology II Course, we are conducting a study entitled “Academic-
Work Role Conflict and Balance among Employed Students in Holy Name
University” by which would assess the researchers to help employed students’
achievement and well-being.

RESEARCH PARTICIPANTS

The participants for this study are the college students that are employed while
studying at Holy Name University, who will be selected purposively. There will be a
minimum of 30 participants who are expected to take part in this study. Under the
following criteria, the research participants must be;

● A college student, either male or female,

● Must be a bonafide student of Holy Name University A.Y 2023-2024.
● Must be employed for a minimum of 6 months work of experience while
simultaneously pursuing their studies at Holy Name University

Furthermore, participants who refuse and willingly withdraw from the study, as well as
those who will provide inconsistent data shall be pulled out as part of the research
participants.
INFORMATION ABOUT STUDY PARTICIPATION

Location
This study will be conducted among the employed college students at Holy Name
University.

Anticipated Reaction.
Respondents may be asked to share their personal information about their academic
and work experiences. Consequently, participation in the research could evoke a wide-
array of emotions and/or memories in some respondents primarily because the
research is focused on a topic that may be appraised as burdening by some employed
students. Alongside potential risks, there are a number of potential benefits to being a
respondent in this research. First, they will have the opportunity to contribute to a study
that could have a significant impact on the lives of employed students. Second,
participation in the research could help respondents better understand their own
experiences anchored in the role conflict and balance. This could lead to the
development of more effective coping strategies that would cater to the complex needs
of each employed student.

Data Collection Procedures

The researchers created a research-made questionnaire to gather data best fit for the
study. The two research-made questionnaires were validated by professionals and
pilot-tested. The researchers will use purposive snowball sampling to identify study
respondents. After identifying the latter, they will be asked to participate in the study
by directly communicating the proper introduction, intention, and nature of the study
to their respective email addresses or messenger accounts. The data will be collected
via Google Forms, with the researchers sending survey questionnaires to
respondents’ email addresses or messenger accounts. Apart from that, they will be
provided with informed consent informing that their participation is voluntary, and that
their responses are highly confidential; and will not be shared with unauthorised
parties.

Duration of Gathering Data

The duration of the whole data gathering process will take at least one month to
complete from the actual gathering from the respondents, data tabulation, and making
the findings of the study.

A consent form will be included on the questionnaire that will be sent to the qualified
respondents preceding the series of questions necessary for data gathering.
Respondents can choose to ignore answering the questions or to not agree on the
terms of agreement stated in the informed consent, and will actively participate in the
study for around 5 to 10 minutes only.

Risks and Benefits

The respondents may receive feedback on their research participation. This could be
helpful in identifying areas, where participants can improve their academic and work
performance. The risks and benefits of participating in this research should be carefully
considered by each potential respondents. They should weigh the potential risks
against the potential benefits before making a decision. This information could be
sensitive in nature, and participants may feel uncomfortable sharing it. And when
respondents are sensitive to the questions being asked in a research study, it is
important for the researcher to take steps to minimise any discomfort or distress. This
discomfort can be minimised by building rapport, implementing a sensitive and
supportive approach, and by assuring of the data’s confidentiality.

When respondents declined to participate, they will be informed that their decision
would not affect their relationship with the researcher or the institution. After all, before
deciding whether to participate in the study, it is their responsibility to read the consent
form and accompanying documentation and consider the benefits and risks carefully.

CONTACT PERSON

For further assistance, questions, and concerns, kindly reach the contact
information provided below.

HAZEL ANN BULAGA

bulaga.hazel_ann@hnu.edu.ph
Contact Number: 09171054271

NILO GOLOSINO III

golosino.nilo@hnu.edu.ph
Contact Number:

DESIREE ANN LEORNAS

leornas.desiree_ann@hnu.edu.ph
Contact Number:

ANGELO MATTHEW NEMENZO

nemenzo.angelo_matthew@hnu.edu.ph
Contact Number: 09608750307

JASSEN NIÑA C. VISTAL

vistal.jassen_nina@hnu.edu.ph
Contact Number: 0976-170-9529
 CERTIFICATE OF CONSENT

I have read the foregoing information, or it has been read to me. I have had the
opportunity to ask questions about it and any questions I have been asked have been
answered to my satisfaction. I consent voluntarily to be a participant in this study.

“Gibasahan na ko sa gipangbutang na mga impormasyon, o ako na kining nabasa.

Gitagaan kog oportunidad para sa mga butang nga naay angay ikapangutana, og
kining mga pangutanaha natubag na sa akong katagbawan. Ako nisugot og naga-
uyong moboluntaryo nga mahimong partisipante ani nga aktibidad.”

Print Legal Name of Participant: _________________________________

Signature of Participant: _______________________________________

Date of Signature [MM/DD/YYYY]: _______________________________

STATEMENT BY THE RESEARCHER OR PERSON TAKING CONSENT

I have accurately read out the information sheet to the potential participant, and
to the best of my ability.

I confirm that the participant was given an opportunity to ask questions about the
study, and all the questions asked by the participant have been answered correctly
and to the best of my ability. I confirm that the individual has not been coerced into
giving consent, and the consent has been given freely and voluntarily. A copy of this
Informed Consent Form has been provided to the participant.

Print Name of Researcher or Person taking the Consent:

____________________________________________________________

Signature of Researcher or Person taking the Consent:

____________________________________________________________

Date of Signature [MM/DD/YYYY]: _______________________________________

 RESEARCH PARTICIPANTS RECRUITMENT PROCEDURE

In this study, the researchers will use purposive snowball sampling, wherein

the researchers will recruit the respondents by recommendations of the same

participants. The respondents will be composed of a minimum of 30 employed

college students of Holy Name University. With the said number of participants, this

excludes people who don't have a minimum of 6 months work experience in an

establishment/company, receiving salary located within Tagbilaran City while

simultaneously pursuing their studies.

 CURRICULUM VITAE

PERSONAL DATA:

Name: HAZEL ANN R. BULAGA

Birthdate: March 18, 2001

Birthplace: Liboron, Calape, Bohol

Religion: Roman Catholic

Marital Status: Single

Nationality: Filipino

Email: bulaga.hazel_ann@hnu.edu.ph

Mobile Number: 0917 – 105 – 4271

EDUCATIONAL BACKGROUND:

Tertiary: Holy Name University

Bachelor of Science in Psychology

Tagbilaran City, Bohol

2020 – present

Secondary: Mater Dei College

Tubigon, Bohol

Graduated A.Y. 2019 – 2020

Primary: Bentig-Calunasan Elementary School

Bentig-Calunasan, Calape, Bohol

Graduated A.Y. 2013 – 2014

PERSONAL DATA:

Name: NILO P. GOLOSINO III

Birthdate: October 14, 2001

Birthplace: San Miguel, Bohol

Religion: UCCP

Marital Status: Single

Nationality: Filipino

Email: golosino.nilo_iii@hnu.edu.ph

Mobile Number: 0930 – 078 – 8866

EDUCATIONAL BACKGROUND:

Tertiary: Holy Name University

Bachelor of Science in Psychology

Tagbilaran City, Bohol

2020 – present

Secondary: Bugang National High School

Bugang, San Miguel, Bohol

Graduated A.Y. 2019 – 2020

Primary: Bugang Elementary School

Bugang, San Miguel, Bohol

Graduated A.Y. 2013 – 2014

PERSONAL DATA:

Name: DESIREE ANN M. LEORNAS

Birthdate: February 9, 2002

Birthplace: Tagbilaran City

Religion: Roman Catholic

Marital Status: Single

Nationality: Filipino

Email: leornas.desiree_ann@hnu.edu.ph

Mobile Number: 09101044546

EDUCATIONAL BACKGROUND:

Tertiary: Holy Name University

Bachelor of Science in Psychology

Tagbilaran City, Bohol

2020 - present

Secondary: Holy Name University

Senior High School

Tagbilaran City, Bohol

2019-2020

Primary: Blessed Trinity Elementary School

Talibon, Bohol

Graduated A.Y. 2012 – 2013

PERSONAL DATA:

Name: ANGELO MATTHEW C. NEMENZO

Birthdate: March 21, 2000

Birthplace: Tagbilaran City, Bohol

Religion: Roman Catholic

Marital Status: Single

Nationality: Filipino

Email: nemenzo.angelo_matthew@hnu.edu.ph

Mobile Number: 0960 – 875 – 0307

EDUCATIONAL BACKGROUND:

Tertiary: Holy Name University

Bachelor of Science in Psychology

Tagbilaran City, Bohol

2020 - present

Secondary: Holy Name University

Tagbilaran City, Bohol

Graduated A.Y. 2019 – 2020

Primary: Merne Graham Memorial School

Tagbilaran City, Bohol

Graduated A.Y. 2013 – 2014

PERSONAL DATA:

Name: JASSEN NIÑA C. VISTAL

Birthdate: January 12, 2002

Birthplace: Tagbilaran City, Bohol

Religion: Roman Catholic

Marital Status: Single

Nationality: Filipino

Email: vistal.jassen_nina@hnu.edu.ph

Mobile Number: 0976 – 170- 9529

EDUCATIONAL BACKGROUND:

Tertiary: Holy Name University

Bachelor of Science in Psychology

Tagbilaran City, Bohol

2020 - present

Secondary: Holy Name University

Tagbilaran City, Bohol

Graduated A.Y. 2019 – 2020

Primary: Kinabag-an Elementary School

Magtongtong, Calape, Bohol

Graduated A.Y. 2013 – 2014

 DOCUMENT RECEIPT FORM

HNU-ERB CODE

Type of 🗆 Initial Review □ Continuing Review

Submission □ Resubmission for re-review □ Renewal
□ Protocol Amendments □ Protocol Termination

If an approved □ Exempted Review

study, level of initial 🗆 Expedited Review
review □ Full Review

Protocol Title Academic-Work Role Conflict and Balance among Employed

Students in Holy Name University
Cellphone Number

Email:

College: College of Arts and Sciences

Delivery route: □ E-submission 🗆 In-person

Documents 🗆 Complete □Incomplete, will submit on

submitted:
Comments

Received by/Sign:

Date Received:
 SITE PROFILE

Holy Name University

Holy Name University is situated at Jansen Heights, Dampas District 6300

Tagbilaran City. It is known as a catholic institution that trailblaze excellence in
educating future leaders.