1 Western Mindanao State University

2 College of Teacher Education

3 Normal Road, Baliwasan, Zamboanga City, 7000 Philippines

5 INFORMED CONSENT FORM

6 Research Title: Experiences of General Education Teachers Teaching in Self-

7 Contained Class

8 I agree to participate in this study as participant, whose conditions are as follows:

9  This is a study conducted by Ms. Zoraida F. Angeles and Mr. Yuri Harris S.

10 Pamaran, an undergraduate who is currently doing a research study at Western

11 Mindanao State University. This study is part of the requirements of the program.

12 The researcher is inviting you to be part of this study.

13  The study aimed to determine the experiences of general education teachers

14 teaching in self-contained class. It also aimed to determine the primary feelings

15 and reactions of the general education teachers teaching in a self-contained class.

16 In addition, this study aims to find out conditions and barriers of the general

17 teacher teaching in self-contained class.

18  The results of this study will indicate the experiences of general education

19 teachers who are both teaching in a regular class setting and subsequently dealing

20 with special students in a self-contained classroom.

21  The study will be conducted from November 2018 to March 2019 covering

22 faculty members of School 1 who are on permanent status. The respondents will
23 be determined using purposive sampling procedure among regular faculty

24 members and who are engaged in teaching in a self-contained class. The study

25 will cover a total of six (6) faculty member respondents.

26  The participant is requested to be available during data collection and provide

27 honest and accurate information.

28  Data gathering will be done through interview. It consists of two parts. Part I is on

29 the personal information of the respondents. Part II is the interview proper.

30  The participation of the respondent will be based on personal knowledge and

31 experiences relevant to the subject matter of this study.

32  The interview will last for about thirty minutes to one hour.

33  The interview will only be held once upon the agreed schedule time of both the

34 researchers and the respondents, respectively.

35  The participation is completely voluntary and no form of remuneration or

36 payment for participating in the study is expected. The participant will not incur

37 any expenses for participating in the study since there is no need to be absent

38 from work or incur fare and meal expenses.

39  The researchers ensure that there will be minimal anticipated risks related to this

40 research that may cause discomforts to the respondents. Hence, no injury or

41 disability is expected resulting from the study related activities, The result of this

42 research will not affect any personal and/or academic standing of the participant.

43  At any time, the participant can refuse to answer a certain question, discuss

44 certain topics or even refuse to answer the questionnaire without any prejudice.

45 The interview session will be audio-recorded. After analyzing the data, the
46 recordings gathered from the interview will be deleted upon the completion of this

47 study.

48  All data gathered in this study will be handled with utmost confidentiality. No

49 name of actual respondents will be mentioned and the information will be coded.

50 The researcher assures the protection of data collection and protection methods.

51  The researchers ensure that the respondent can access the results of the study and

52 have the right to access the data upon request.

53  The respondent will be informed of any information when this becomes available

54 that maybe relevant to the participant’s willingness to continue to participate.

55  The researcher will serve only as an investigator and will not serve as an

56 intervention provider in this study.

57  For more information about the study, the respondent may contact Zoraida F.

58 Angeles at +639269864216, and Yuri Harris S. Pamaran at +639151531979.

59  The Ethics Review Committee of the College of Teacher Education may be

60 reached through Tel. No. 991-1771 for information regarding rights of study

61 participants, including grievance and complaints.

62

63

64 Researchers Signature: _________________

65 _________________

66

67 Respondent’s Signature: _________________