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Consent: (Only When Participant Cannot Read or Sign This Informed Consent)

This document is a consent form for participation in a research study. It states that the participant has been informed about the study and had all questions answered. Any information provided will be kept confidential. Participation is voluntary and the participant can withdraw at any time without penalty. The participant will be provided a copy of the consent form and can contact the researcher, Lalyn Javier, with any additional questions about the study. The participant and researchers must sign and date the form to indicate consent.

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Gabriel Martinez
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71 views

Consent: (Only When Participant Cannot Read or Sign This Informed Consent)

This document is a consent form for participation in a research study. It states that the participant has been informed about the study and had all questions answered. Any information provided will be kept confidential. Participation is voluntary and the participant can withdraw at any time without penalty. The participant will be provided a copy of the consent form and can contact the researcher, Lalyn Javier, with any additional questions about the study. The participant and researchers must sign and date the form to indicate consent.

Uploaded by

Gabriel Martinez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CONSENT

I, the undersigned, agree to take part in the above CEFI Senior High School Research. I have read
it or has been read to me and understood the provided information. I have spoken directly to the
researchers of this study who have answered to my satisfaction of all my questions. I have had the
opportunity to consider and ask questions on the information regarding the involvement in this study.

Declaration of Participant:

I understand that any information I provide is confidential and that no information that could lead
to the identification of any individual will be disclosed in any reports in the research, or to any other
party.

I also understand that my participation is voluntary, that I can choose not to participate in part or
all of the project, and that I can freely withdraw at any phase of the research without being penalized or
disadvantaged in anyway and without giving a reason and without cost.

I am also aware that the results of this research will be given to me once I requested for them and
that Lalyn Javier with the contact number 09123456789 and e-mail address [email protected] is the
person to contact if I have inquiries regarding the study. I have received a copy of this consent form and
the researcher will keep another copy on file. I hereby voluntarily agree to participate.

_____________________________________________________________________________________

CONFORME:

__________________________ _____________________ ________________


Printed Name of Participant Signature of Participant Date

__________________________ _____________________ ________________


Printed Name of Researcher. Signature of Researcher Date

__________________________ _____________________ ________________


Printed Name of Researcher Signature of Researcher Date

__________________________ _____________________ ________________


Printed Name of Researcher. Signature of Researcher Date

__________________________ _____________________ ________________


Printed Name of Witness Signature of Researcher Date

__________________________ _____________________ ________________


Printed Name of Legal Guardia Signature of Legal Guardian. Date
(Only when participant cannot read or sign this Informed Consent)

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