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GENERAL SAMPLES

1. Sample letter requesting permission to conduct research

2. Sample letter requesting permission to use research
instrument
3. Sample letter requesting for research instrument
validation
4. Validation Sheet for quantitative research (to be used by
evaluator)
5. Sample respondent’s informed consent form
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Sample letter requesting permission to conduct research

[Date]

FOR: [Recipient's Name]

[Recipient's Title/Position]
[Recipient's Organization/Institution]
[Recipient's Address]

RE: [Subject of letter]

Dear [Recipient's Name],

I hope this message finds you well. I am a student researcher from

Panpacific University and I am writing on behalf of my research group to
request permission to conduct our study at [Recipient's
Organization/Institution] as part of our requirement in [insert Subject].

The objective of our research is to [briefly explain the purpose of your

research]. We believe that conducting this research at [Recipient's
Organization] would provide valuable insights into [relevant topic].

We are planning to conduct [describe the research methodology, such as

surveys, interviews, or observations], and I assure you that all necessary
ethical guidelines will be followed. Participant confidentiality and informed
consent will be prioritized throughout the study.

I would greatly appreciate the opportunity to discuss this further and

address any questions or concerns you may have. Please do not hesitate to
contact me (please see details below). Thank you for considering my
request. I look forward to your positive response.

Warm regards,

[Your name and signature]

Panpacific University
[Your address]
[Institutional email address]
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[Phone number]

Group members:
[Group leader’s full name]
[Group member’s full name]...

Endorsed by: [Adviser’s name and signature]

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Sample letter requesting permission to use research instrument

FOR: [Recipient's Name]

[Recipient's Title/Position]
[Recipient's Organization/Institution]
[Recipient's Address]

RE: [Subject of letter]

Dear [Recipient's Name],

Greetings!

I am [insert your name], a [major] student of Panpacific University

completing a [thesis/dissertation]. I am writing to ask permission to use the
[instrument name] in a research study. [Insert details about the nature of
your research].
[Include any details that will influence the decision, such as whether you
plan to use the entire instrument or if you plan on modifying or adapting
any of the questions. Describe how you plan to use the instrument. Specify
the parameters of your research study and include any important
information about the way you will administer the instrument and/or
analyze the results].
I would also appreciate receiving copies of [supplemental material that will
help you administer the test and analyze the results; for example, (1) the
test questionnaire, (2) the standard instructions for administering the test,
and (3) scoring procedures].
Thank you for considering my request. I look forward to your positive
response. If you need any further information or have specific
requirements, please do not hesitate to contact me.
Warm regards,

[Your name and signature]

Panpacific University
[Your address]
[Institutional email address]
[Phone number]
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Group members:
[Group leader’s full name]
[Group member’s full name]...

Endorsed by: [Adviser’s name and signature]

Sample letter requesting for research instrument validation

Request for Instrument Validation

FOR: [Recipient's Name]

[Recipient's Title/Position]
[Recipient's Organization/Institution]
[Recipient's Address]

RE: [Subject of letter]

Dear [Recipient's Name],

Greetings!

[Your Name]
[Your Institution]
[Your Address]
[City, State, Zip Code]
[Email Address]
[Phone Number]
[Date]

[Recipient's Name]
[Recipient's Title/Position]
[Recipient's Organization/Institution]
[Recipient's Address]
[City, State, Zip Code]
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Dear [Recipient's Name],

Greetings!

We, [insert your program] students of Panpacific University is currently

working on our research project entitled: [insert the title of your research].
A written test questionnaire as instrument will be used in the said research.
In view with this, we would like your expertise to validate the attached self-
made questionnaire/s to qualify for conduction. Knowing your experience in
the field of research, we would like to ask for your help in validating the
said instrument before administering it.

I have attached here with the validation sheet, questionnaire with table of
specification and statement of the problem of the study. I will be glad to
hear your suggestions and comments for the improvement of the
instrument.

I am looking forward that my request would merit your positive response.

Your positive response is highly appreciated.

Sincerely,
[Your name and signature]
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Validation Sheet for quantitative research (to be used by evaluator)

VALIDATION SHEET

Name of the instrument:

Dear ____________,
We seek your expert opinion on how relevant each item is being
measured. The instructions are provided below to guide you in your analysis.
Please use the following rating scale and rate each item as objectively as
possible in your review.

Instruction: This instrument is used for EXPERT EVALUATOR to assess the

relevance and effectiveness of the instrument using the rating scale:

Degree of relevance:
1 = the item is not relevant to the measured domain
2 = the item is somewhat relevant to the measured domain
3 = the item is quite relevant to the measured domain
4 = the item is highly relevant to the measured domain

Example of Domain with definition:

Domain: Students Perception on Mathematics Teaching Methodoligies
Definition: Students opinion on approaches, ways or methods used by a
teaching while lecturing mathematics subject lessons.

Relevance
Questionnaire Item
1 2 3 4
Q1.
Q2.
Q3.
Q4.
Q5.

Signature over printed name of Evaluator:____________________

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Date of validation:_________________
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Validation Instrument for Undergraduate Qualitative Research

Name of the Validator:_________________________
Professional Eligibility:________________________
Position/Designation:_________________________

Rate Scale Interpretation

4 3.25-4.00 Highly valid

3 2.50-3.24 Valid

2 1.75-2.49 Fairly valid

1 1.00-1.74 Not valid

Please check the appropriate box for your rating: Scale: 5 = Strongly Agree; 4 =
Agree; 3 =
Disagree; 2 = Strongly Disagree; 1 = Poor
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Sample respondent’s informed consent form

Consent for Participation in Research

This document is in three parts:

(1) instructions for researchers;
(2) template of the Information Sheet for the potential participants;
(3) template of the Consent Certificate.

Instructions

All persons who might be potential sources of data for your research must
be formally invited by you to participate in it. Ethics demands that these
persons have been informed beforehand about what would be involved
given their potential participation, before they willingly agree to participate
in the study. For that reason, this process (and this form) is often referred
to as “Informed Consent.”

Italicized material in the templates below are for your guidance, and should
be deleted from your final ICF (Informed Consent Form). When you see
brackets, you are supposed to supply the information.

The wording can vary as you deem fit, but make sure to cover all the
following bases:
● your (researcher’s) information
● purpose of the study
● relevant procedure/s
● participant’s specific contribution to the study
● possible risks or inconveniences of the study
● possible benefits of the study (including compensation, if
appropriate)
● assurance of confidentiality/anonymity and security
● assurance of voluntary participation in the study

Tips:

Use language and vocabulary that are as basic and straightforward as

possible. If necessary, be ready to have a version translated into the
vernacular of your target participant/s.

The information sheet is written in second person, as if you were talking to

the participant: “You are invited to….” The thesis sheet, you will note, is
written in first person, reflecting the participant’s affirmation of willingness
to contribute to the study.
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Conventional practice right now is to have the participant not only sign the
consent certificate, but to place his/her initials on all pages of the
information sheet as well, as is done with legal documents, as a way to
signify that the participant has read the information sheet in its entirety.

Template

[WORKING TITLE]

[NAME/S of RESEARCHER/S]

[SCHOOL]

[CONTACT DETAILS (email address, phone number, social media access,

etc.)]

Dear Sir/Madam,

You are being asked to take part in a research study. Before you
decide to participate in this study, it is important that you understand why
the research is being done and what it will involve. Please read the
following information carefully. If there is anything that is not clear or if you
need more information, please do not hesitate to ask.

PURPOSE

The purpose of this study is [provide the purpose of the study here].

PROCEDURE

List all procedures, preferably in chronological order, which will be

employed in the study. Use simple and non-technical language as much as
possible. You may also include here your research study’s intended locale
and population (for quantitative) or ideal subject (for qualitative), as well as
any inclusionary or exclusionary criteria that might be a basis for a person
to accept or decline participation. Clarify details regarding the procedure:
is the survey on paper or an online form? Will the interview be face-to-face,
or via online video conferencing? Where and when might the FGD be
conducted? Data gathering process might also be relevant, so if there will
be any audio or video recording taking place, this is the place to bring it
up.

PARTICIPATION

Specify what exactly is being expected from the person: e.g. to

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answer a test or questionnaire or survey, to be interviewed, to be observed

in class, etc. State the amount of time required of the participant: e.g., The
survey will take around 2 0 minutes; The interview will be for one hour;
You will be observed once a week, every Thursdays, for the next six weeks,
etc.

RISKS, INCONVENIENCES & SAFEGUARDS

List all reasonably foreseeable risks, if any, of each of the procedures

to be used in the study, and then articulate any measures that will be
taken in order to minimize the risks: e.g., One may be uncomfortable
answering a few of the sensitive interview questions; this is followed by:
You can skip any questions that might make you feel uncomfortable during
the interview.

BENEFITS

List the benefits you anticipate will be achieved from this research.
Include benefits to participants, others, or the body of knowledge. If there
is no direct benefit to the participant (such as compensation), state so. For
example, “There will be no direct benefit to you for your participation in
this study. However, we hope that the information obtained from this study
may….”

PRIVACY & SECURITY

Anonymity: data collected is unidentifiable: there is no list of

personal information, and no tracing of responses (let’s say of a survey) to
a particular pearson

Confidentiality: the researcher knows, collects, or has a record of the

participant’s name or other identifiable information such as e-mail address,
phone number, address, birthdate, student ID, grades, but will withhold
disclosing any of that information.

Assure the participant that his/her privacy is protected: e.g., that

code numbers or pseudonyms will be used to protect his/her identity, or
that no identifying information will be revealed even as the research is
being disseminated.

This may also translate into providing assurance on the security of

the data, which might include articulating information such as where/how
will the data be stored, who will have access to it, and how long will that
data be kept (usual practice is three years).

Note: Participant data will be kept confidential except in cases where

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the researcher may be legally obligated to report specific incidents, such

as, for example, criminal activities, incidents of abuse and suicide risk.

VOLUNTARY PARTICIPATION

Your participation in this study is voluntary; it is entirely up to you to

decide whether or not to take part in it. If you decide to take part in this
study, you will be asked to sign the consent certificate. After you sign the
consent certificate, you are still free to withdraw at any time and without
having to give any reason. Withdrawing from this study will not result in
any adverse consequences for you. You are also free to withdraw
permission from our using any data that we might have already obtained
from you during the process.

Thank you.

[NAME/S and SIGNATURES of RESEARCHER/S]

[NAME and SIGNATURE of ADVISER]

Consent

I have read and I understand the provided information and have

had the opportunity to ask questions. I understand that my
participation is voluntary and that I am free to withdraw at any
time, without giving a reason and without cost. I understand that
by affixing my signature below, I am giving consent to be a
participant in this study.

☐ I give permission to be photographed / taped (audio/video).

☐ I do not give permission to be photographed / taped
(audio/video).
These may be deleted if photography/recording is NOT applicable to your
research project.

_______________________ ________

Participant's Name & Signature Date