Declaration Form for Using AI/Chatbot in Modular Distance Learning Activities
Student Information Name: ______________________________________ Subject: _________________________ Grade Level and Section:_____________________ Date: ____________________________ Teacher's Name: ______________________________
Declaration
I, the undersigned student, declare that I have used an AI/Chatbot (e.g., Microsoft Copilot, meta AI) to assist me in completing my modular distance learning activities. I understand and agree to the following:
1. I have used the AI/Chatbot responsibly and ethically to seek information, clarify concepts, or gain assistance in understanding my modules. 2. I have documented all the prompts I used during the process and listed them below. 3. I am aware that the AI/Chatbot is a tool to aid my learning, and I have not relied solely on it for completing my assignments without proper understanding. 4. I acknowledge that any misuse or inappropriate use of the AI/Chatbot will result in disciplinary actions analogous to what is discussed per school policies.
