If you have questions at any time about the study or the procedures or you experience adverse effects as a result of participating in this study you may contact the researcher, insert name, at ___@wlu.ca/___@mylaurier.ca or 519-884-0710 x ____ This project has been reviewed and approved by the University Research Ethics Board (REB# insert REB project number), which receives funding from the . If you feel you have not been treated according to the descriptions in this form, or your rights as a participant in research have been violated during the course of this project, you may contact Jayne Kalmar, PhD, Chair, University Research Ethics Board, Wilfrid Laurier University, (519) extension 3131 or . Your participation in this study is voluntary; you may decline to participate without penalty. If you decide to participate, you may withdraw from the study at any time without penalty. You have the right to refuse to answer any question or participate in any activity you choose. If you withdraw from the study, you can request to have your data removed/destroyed by insert process for requesting data removal/destruction until insert date. OR Due to the anonymity of the data if you withdraw from the study it is not possible to have your data removed/destroyed. If applicable: The principal investigator may terminate the participant’s participation without regard to the participant’s consent if describe participation termination procedure. The results of this research might be published/presented in a thesis, course project report, book, journal article, conference presentation, class presentation. If applicable: As this project is being conducted on behalf of insert agency/company/client they will receive a report upon completion of the project. Only aggregate findings and no individual responses will be reported. The results of this research may be made available through Open Access resources. An executive summary of the findings from this study will be available by insert date. You can request the executive summary by e-mailing insert e-mail contact of researcher. OR If you choose to provide your e-mail address for this purpose at the end of the study, the executive summary will be e-mailed to you by insert date.
If you have questions at any time about the study or the procedures or you experience adverse effects as a result of participating in this study you may contact the researcher, insert name, at ___@wlu.ca/___@mylaurier.ca or 519-884-0710 x ____ This project has been reviewed and approved by the University Research Ethics Board (REB# insert REB project number), which receives funding from the . If you feel you have not been treated according to the descriptions in this form, or your rights as a participant in research have been violated during the course of this project, you may contact Jayne Kalmar, PhD, Chair, University Research Ethics Board, Wilfrid Laurier University, (519) extension 3131 or . Your participation in this study is voluntary; you may decline to participate without penalty. If you decide to participate, you may withdraw from the study at any time without penalty. You have the right to refuse to answer any question or participate in any activity you choose. If you withdraw from the study, you can request to have your data removed/destroyed by insert process for requesting data removal/destruction until insert date. OR Due to the anonymity of the data if you withdraw from the study it is not possible to have your data removed/destroyed. If applicable: The principal investigator may terminate the participant’s participation without regard to the participant’s consent if describe participation termination procedure. The results of this research might be published/presented in a thesis, course project report, book, journal article, conference presentation, class presentation. If applicable: As this project is being conducted on behalf of insert agency/company/client they will receive a report upon completion of the project. Only aggregate findings and no individual responses will be reported. The results of this research may be made available through Open Access resources. An executive summary of the findings from this study will be available by insert date. You can request the executive summary by e-mailing insert e-mail contact of researcher. OR If you choose to provide your e-mail address for this purpose at the end of the study, the executive summary will be e-mailed to you by insert date.
informed-consent-statement-template.docx