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Informed Consent Form

(SURVEY)

I, the undersigned, confirm that …. (please tick box as appropriate):

1. I voluntarily agree to participate in the study.


2. I have been given the opportunity to ask questions about the study and my participation.
3. I understand that I can withdraw at any time without giving reasons and that I shall not be penalized for
withdrawing nor I shall be questioned on why I withdrawn.
4. The procedures regarding confidentiality have been clearly explained that I can use my pseudonym and
anonymous name.
5. The purpose of the survey has been explained to me.
6. I understand that the data collected from this study shall ONLY be used in reports, publications, and other
research outputs.
7. I, along with the Researcher, agree to sign and date this informed consent form.

Participant:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.

_______________________________ ____________________ _________________


Name of Researcher Signature Date

*Adapted from Newcastle University (2012)

Informed Consent Form


(SURVEY)

I, the undersigned, confirm that …. (please tick box as appropriate):

1. I voluntarily agree to participate in the study.


2. I have been given the opportunity to ask questions about the study and my participation.
3. I understand that I can withdraw at any time without giving reasons and that I shall not be penalized for
withdrawing nor I will be questioned on why I withdrawn.
4. The procedures regarding confidentiality have been clearly explained that I can use my pseudonym and
anonymous name.
5. The purpose of the survey has been explained to me.
6. I understand that the data collected from this study shall ONLY be used in reports, publications, and other
research outputs.
7. I, along with the Researcher, agree to sign and date this informed consent form.

Participant:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.

_______________________________ ____________________ _________________


Name of Researcher Signature Date

*Adapted from Newcastle University (2012)


Informed Consent Form
(SURVEY with INTERVIEW)

I, the undersigned, confirm that …. (please tick box as appropriate):


1. I voluntarily agree to participate in the study.
2. I also agree to be interviewed by the researcher, and our whole conversation be audio recorded.
3. I have been given the opportunity to ask questions about the study and my participation.
4. I understand that I can withdraw at any time without giving reasons and that I shall not be penalized for
withdrawing nor I will be questioned on why I withdrawn.
5. The procedures regarding confidentiality have been clearly explained that I can use my pseudonym and
anonymous name.
6. The purpose of the interview has been explained to me.
7. I understand that the data collected from this study shall ONLY be used in reports, publications, and other
research outputs.
8. I, along with the Researcher, agree to sign and date this informed consent form.

Participant:
By affixing my signature, I signify my intention to participate in this study.

_______________________ ____________________ _________________


Name of Participant Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.

_______________________________ ____________________ _________________


Name of Researcher Signature Date

*Adapted from Newcastle University (2012)

Informed Consent Form


(SURVEY with INTERVIEW)

I, the undersigned, confirm that …. (please tick box as appropriate):

1. I voluntarily agree to participate in the study.


2. I also agree to be interviewed by the researcher, and our whole conversation be audio recorded.
3. I have been given the opportunity to ask questions about the study and my participation.
4. I understand that I can withdraw at any time without giving reasons and that I shall not be penalized for
withdrawing nor I will be questioned on why I withdrawn.
5. The procedures regarding confidentiality have been clearly explained that I can use my pseudonym and
anonymous name.
6. The purpose of the interview has been explained to me.
7. I understand that the data collected from this study shall ONLY be used in reports, publications, and other
research outputs.
8. I, along with the Researcher, agree to sign and date this informed consent form.

Participant:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.

_______________________________ ____________________ _________________


Name of Researcher Signature Date

*Adapted from Newcastle University (2012)


Informed Consent Form
(CLASSROOM OBSERVATION)

I, the undersigned, confirm that …. (please tick box as appropriate):


1. I give permission to the researcher of this study to conduct classroom observation in my class using
classroom observation tool.
2. I allow the researcher of this study to take photos (for documentation) during classroom discussion and
assessment provided that he was able to have a separate consent form for the parents of the students who
will be involved in the said photo documentation.
3.. I understand that I can withdraw at any time without giving reasons and that I will not be penalized for
withdrawing nor I will be questioned on why I withdrawn.
4. The procedures regarding confidentiality have been clearly explained.
5. I have been given the opportunity to ask questions about the study and my participation.
6. I understand that the data collected from this study shall ONLY be used in reports, publications, and other
research outputs.
7. I, along with the Researcher, agree to sign and date this informed consent form.

Participant:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.

_______________________________ ____________________ _________________


Name of Researcher Signature Date

*Adapted from Newcastle University (2012)

Informed Consent Form


(CLASSROOM OBSERVATION)

I, the undersigned, confirm that …. (please tick box as appropriate):


1. I give permission to the researcher of this study to conduct classroom observation in my class using
classroom observation tool.
2. I allow the researcher of this study to take photos (for documentation) during classroom discussions and
assessments provided that he was able to have a separate consent form for the parents of the students who
will be involved in the said photo documentation.
3.. I understand that I can withdraw at any time without giving reasons and that I will not be penalized for
withdrawing nor I will be questioned on why I withdrawn.
4. The procedures regarding confidentiality have been clearly explained.
5. I have been given the opportunity to ask questions about the study and my participation.
6. I understand that the data collected from this study shall ONLY be used in reports, publications, and other
research outputs.
7. I, along with the Researcher, agree to sign and date this informed consent form.

Participant:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.

_______________________________ ____________________ _________________


Name of Researcher Signature Date

*Adapted from Newcastle University (2012)


INFORMED CONSENT FORM
(PARENTS)

Name of the Researcher: Paningbatan, Alfredo Jr. D. Course/Subject: EDRE 217: Theory and Methods of
Program of the Researcher: MA in Math Education Evaluation
Professor: Teodora Salubayba, PhD
Research Topic: Teachers, Students, and Parents’ Perspective of Assessment Practices in Public and Private Schools
Data gathering procedures:
(1) Observe classroom discussions and assessments in Science and Mathematics Class (2) take photos during classroom
discussions and assessments for the purpose of documentation only (3) Gather information from teachers, students and their
parent/s through survey and interview

I, the undersigned, confirm that …. (please tick box as appropriate):


1. I voluntarily agree to participate in this study, be interviewed by the researcher, and our whole conversation be audio recorded.
2 I also agree to have my child be interviewed by the researcher, and their whole conversation be audio recorded (documentation only)
3. I give permission to the researcher to capture photo/s of my child together with his/her classmates and teacher during classroom discussions and
assessments for the purpose of documentation only.
4. I have been given the opportunity to ask questions about the study and my participation.
5. I understand that I can withdraw at any time without giving reasons and that I will not be penalized for withdrawing nor I will be questioned on
why I withdrawn.
6. I understand that the data collected from this study will be treated as confidential and will only be used in reports, publications, and other
research outputs.
7. I understand that whatever data collected from this study will not be used against me and my child and will not affect my child’s grade and
relationship with his/her teachers.

Participants:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant (Student) Signature Date

_______________________________ ____________________ _________________


Name of Participant (Parent) Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.
______________________________ ____________________ _________________
Name of Researcher Signature Date
CP # 09359296718 (For concerns/questions)

INFORMED CONSENT FORM


(PARENTS)

Name of the Researcher: Paningbatan, Alfredo Jr. D. Course/Subject: EDRE 217: Theory and Methods of
Program of the Researcher: MA in Math Education Evaluation
Professor: Teodora Salubayba, PhD
Research Topic: Teachers, Students, and Parents’ Perspective of Assessment Practices in Public and Private Schools
Data gathering procedures:
(1) Observe classroom discussions and assessments in Science and Mathematics Class (2) take photos during classroom
discussions and assessments for the purpose of documentation only (3) Gather information from teachers, students and their
parent/s through survey and interview

I, the undersigned, confirm that …. (please tick box as appropriate):


1. I voluntarily agree to participate in this study, be interviewed by the researcher, and our whole conversation be audio recorded.
2 I also agree to have my child be interviewed by the researcher, and their whole conversation be audio recorded (documentation only)
3. I give permission to the researcher to capture photo/s of my child together with his/her classmates and teacher during classroom discussions and
assessments for the purpose of documentation only.
4. I have been given the opportunity to ask questions about the study and my participation.
5. I understand that I can withdraw at any time without giving reasons and that I will not be penalized for withdrawing nor I will be questioned on
why I withdrawn.
6. I understand that the data collected from this study will be treated as confidential and will only be used in reports, publications, and other
research outputs.
7. I understand that whatever data collected from this study will not be used against me and my child and will not affect my child’s grade and
relationship with his/her teachers.

Participants:
By affixing my signature, I signify my intention to participate in this study.

_______________________________ ____________________ _________________


Name of Participant (Student) Signature Date

_______________________________ ____________________ _________________


Name of Participant (Parent) Signature Date

Researcher:
By affixing my signature, I agree to abide by conditions set forth in this consent form.
______________________________ ____________________ _________________
Name of Researcher Signature Date
CP # 09359296718 (For concerns/questions)

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