HUMAN SUBJECTS RESEARCH CONSENT LETTER
University of Victoria
Letter of Informed ConsentDate
I, (print name in full) ___________________ am ___ was ___ a doctoral student registered at (name of institution) ___________________. In signing this consent form, I agree to volunteer in the Graduate Studies research project being conducted by Bobbi Smith between (enter dates).
I understand that the research being conducted relates to the experiences of doctoral students that contribute to attrition and doctoral persistence. I understand that excerpts from my written transcripts and tape-recorded verbal communications with the researcher will be studied and may be quoted in a doctoral dissertation and in future papers, journal articles and books that will be written by the researcher.
I grant authorization for the use of the above information with the full understanding that my anonymity and confidentiality will be preserved at all times. I understand that my full name or other identifying information will never be disclosed or referenced in any way in any written or verbal context. I understand that transcripts, both paper and floppy disk versions, will be secured in the privacy of the researcher's home office and that any audio tapes of my conversations with the researcher will be erased no later than (date).
I understand that my participation is entirely voluntary and that I may withdraw my permission to participate in this study without explanation at any point up to and including, the last day of (date).
I grant permission to use one of the following:
____ My first name only ____ Only a pseudonym ____________________
Signature
Date
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