Republic of the Philippines

SULTAN KUDARAT STATE UNIVERSITY

COLLEGE OF TEACHER EDUCATION
ACCESS, EJC Montilla, Tacurong City

CONSENT FORM
(Protacio, 2021; Accad et. al., 2015

I/We ____________________________________ have read and understand

the letter of invitation to take part in the research study:
“___________________________________________________________________
_________________________________________”.

I/We have provided adequate information regarding the nature of the study and
understand what will be requested of me/us. I am aware of my participation’s right to
withdraw any point during the study without penalty.

We hereby consent to participate in this research study.

______________________________________
Participant’s Name and Signature

___________________
Date

______________________________________
Parent’s Name and Signature (For Minors)

___________________
Date

_____________________________________
Researcher’s Name and Signature

___________________
Date