AI Use Declaration Form
Name of Student : CHLOIE VICTORIA A. FUENTES
Subject and Course Code : SEE1106 – Children and Adolescent Literature
Facilitator : Ms. Ma. Charinna Jumel L. Lee
This document serves as a declaration of my use of Artificial Intelligence and other derivative
technologies in my assessment for the course SEE1106.
This document also serves as my acknowledgement that I’ve carefully read and understood FEU’s
Academic Integrity Policy and Guidelines of the Use of Generative Artificial Intelligence. Furthermore,
the signing of this document serves as my acknowledgement that all details written herein are true to
the best of my knowledge.
Title of the Assessment Formative Assessment 2 – Fairytale Analysis
Date of Submission of the February 24, 2025
Assessment
Assessment Tasks 1.Choose 1 Fairytale to analyze.
2.Choose a literary criticism you want to use to analyze the story.
3.Prepare a 10-minute presentation for it.
4.The literary criticism paper should follow the following format:
Minimum of 3 pages
Double-spaced
TNR, 12
Justified
1-inch margin on both sides
Include your name, section, and paper title
AI and other technologies Quillbot & Grammarly
used
Specific use/s of listed AI and Paraphrasing
other Technologies (e.g.,
prompts used, assistance
requested)
Screenshots of AI Use (to be accomplished when required by the facilitator)
Noted:
Name & Signature of the Student
CHLOIE VICTORIA A. FUENTES
Approved by
Course Facilitator :
Adviser or Department Head (if Applicable) :
Reasons for Disapproval and Recommended Revisions: