Confidentiality Agreement < Project Title > < Principal Investigator and Department > Queen’s University at Kingston Kingston, Ontario K7L 3N6 < Date > I have read and retained the Letter of Information concerning the above referenced research project being conducted by < Principal Investigator>, Queen’s University. In my role as a <name the job> for the researcher, I understand the nature of the study and requirements for confidentiality. I have had all of my questions concerning the nature of the study and my role as a <job> answered to my satisfaction. Maintaining Confidentiality I agree not to reveal in any way to any person other than the researcher any information (e.g., name, email address, or phone number) collected from participants. Identification and Signature Indicating Agreement Name: _______________________________________________ Email: ______________________________________________ Telephone: ___________________________________________ Mailing Address: _____________________________________________________ Signature: __________________________________________________________ Should you require further information please feel free to contact the <Principal Investigator>, at the <name of department>, Queen’s University, Kingston, Ontario K7L 3N6, or by email <userid>, or by phone <phone number>. If you have any ethics concerns please contact the General Research Ethics Board (GREB) at (Toll free in North America) or .
Confidentiality Agreement < Project Title > < Principal Investigator and Department > Queen’s University at Kingston Kingston, Ontario K7L 3N6 < Date > I have read and retained the Letter of Information concerning the above referenced research project being conducted by < Principal Investigator>, Queen’s University. In my role as a <name the job> for the researcher, I understand the nature of the study and requirements for confidentiality. I have had all of my questions concerning the nature of the study and my role as a <job> answered to my satisfaction. Maintaining Confidentiality I agree not to reveal in any way to any person other than the researcher any information (e.g., name, email address, or phone number) collected from participants. Identification and Signature Indicating Agreement Name: _______________________________________________ Email: ______________________________________________ Telephone: ___________________________________________ Mailing Address: _____________________________________________________ Signature: __________________________________________________________ Should you require further information please feel free to contact the <Principal Investigator>, at the <name of department>, Queen’s University, Kingston, Ontario K7L 3N6, or by email <userid>, or by phone <phone number>. If you have any ethics concerns please contact the General Research Ethics Board (GREB) at (Toll free in North America) or .
GREB%20Confidentiality%20Agreement%20Example%20v_2017JUN27.docx