I have read the information presented in the information letter about a study being conducted by [insert researcher names] for a (insert course name) course project at the . The course instructor is Professor (insert course instructor’s name). I have had the opportunity to ask any questions related to this study, to receive satisfactory answers to my questions, and any additional details I wanted. I am aware that I have the option of allowing my interview to be tape to ensure an accurate recording of my responses. I am also that excerpts from the interview may be included in the course project paper to come from this research, with the understanding that the quotations will be anonymous. I was informed that I may withdraw my consent at any time by advising the student researcher. This study has been reviewed and received ethics clearance through a University of Waterloo Research Ethics Committee (ORE#XXXXX - insert your ORE file # here). If you have questions for the Committee contact the Office of Research Ethics, at 1-519-888-4567 ext. 36005 or . For all other questions contact [insert researcher’s name and contact information]. With full knowledge of all foregoing, I agree, of my own free will, to participate in this study. YES NO I agree to have my interview tape recorded. YES NO I agree to the use of anonymous quotations in the course project paper. YES NO Participant Name: ____________________________ (Please print) Participant Signature: ____________________________ Witness Name: ________________________________ (Please print) Witness Signature: ______________________________ Date: ____________________________
I have read the information presented in the information letter about a study being conducted by [insert researcher names] for a (insert course name) course project at the . The course instructor is Professor (insert course instructor’s name). I have had the opportunity to ask any questions related to this study, to receive satisfactory answers to my questions, and any additional details I wanted. I am aware that I have the option of allowing my interview to be tape to ensure an accurate recording of my responses. I am also that excerpts from the interview may be included in the course project paper to come from this research, with the understanding that the quotations will be anonymous. I was informed that I may withdraw my consent at any time by advising the student researcher. This study has been reviewed and received ethics clearance through a University of Waterloo Research Ethics Committee (ORE#XXXXX - insert your ORE file # here). If you have questions for the Committee contact the Office of Research Ethics, at 1-519-888-4567 ext. 36005 or . For all other questions contact [insert researcher’s name and contact information]. With full knowledge of all foregoing, I agree, of my own free will, to participate in this study. YES NO I agree to have my interview tape recorded. YES NO I agree to the use of anonymous quotations in the course project paper. YES NO Participant Name: ____________________________ (Please print) Participant Signature: ____________________________ Witness Name: ________________________________ (Please print) Witness Signature: ______________________________ Date: ____________________________
b5_5_studentproject_iclinterview_0_0_0.docx