University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
Ethics Application Procedure
(Studies involving human populations)
* (Studies involving animals and microorganisms are not required to accomplish this form)
IMPORTANT: All fields must be completed.
Research Title: Illuminating the Struggles and Aspirations of Hotel Employees
affected by the Pandemic
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 1 of 7
University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
Faculty Researchers: _______________________ _______________________
_______________________ _______________________
Student Researchers: Abadingo, Shameia Blaire M. Reyes, Paolo Rafael D.
Laluces, Jhon Lloyd Y. Ulong, Mogrimen R.
Pardillo, Kristine Jane T.
Name of Sponsor (if applicable): __________________________________________________
Date Submitted: _August 12,2021_________
Date Received: _______________________
1 UNDERLINE the vulnerable population being studied: Pregnant Women, Elderly,
Adolescents, Children, Refugees, Prisoners, Those who cannot give consent (unconscious),
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 2 of 7
University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
Persons with mental or behavioral disorders, Persons with disability
Other; Please specify: __________________________________
C NC N/A
2 The risks and the benefits for the research participants are discussed in the /
protocol
3 The protocol describes how the communities from which the participants /
are to be drawn likely to benefit from the research
4 The protocol describes whether the research outcome/s is/are likely to /
benefit communities beyond the research population
5 The design is free of undue inducements to participate in the research /
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 3 of 7
University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
6 The recruitment procedure includes adequate protection for the privacy and /
psychosocial needs of the individuals
7 The protocol has adequate provisions to ensure the confidentiality of /
participants’ data
8 The protocol provides that the participants are free not to participate for /
whatever reasons or leave the research at any time without penalty
9 The protocol, when needed, ensures the availability of a counselor or a /
psychologist or a spiritual adviser to provide appropriate intervention to
research participants during and after the research
10 The protocol includes the provision in handling possible adverse reactions /
associated with the research (medical, physical)
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 4 of 7
University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
11 Provisions are present in the proposal for recruiting participants incapable /
of reading and signing to the written consent form (e.g. illiterate patients).
(Please explain by using extra sheet/s of paper)
12 Provisions are present in the proposal for recruiting participants incapable /
of giving personal consent (e.g. because of cultural factors, children or
adolescents less than 18 years old, participants with mental illness, etc.)
and to express their decision. (Please explain by using extra sheet/s of
paper)
13 Questionnaires, diary cards, etc. are being used in the research /
a. English and in the local language /
b. Written in lay language, and easily understood
c. relevant to answer the research questions
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 5 of 7
University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
d. worded sensitively
Legend: C – Complied NC – Not Complied N/A – Not Applicable
Submitted by
Name Signature Name Signature
Abadingo Shameia Blaire M. ______________ Reyes, Paolo Rafael D. _____________
Laluces, Jhon Lloyd Y. ______________ Ulong, Mogrimen R. _____________
Pardillo, Kristine Jane T. ______________ ________________________ _____________
Endorsed by/ Recommended by Hannah A. Pareja
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 6 of 7
University of the Immaculate Conception
REC_FO_0023
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines
Research Adviser/ Mentor
Date Filed: ________________________________________________
Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: [email protected] Page 7 of 7
