Scribd
Upload
15K views

Interview Consent Form

This document is an interview consent form that outlines the conditions for participation in a research interview. It specifies that the interview will be recorded, transcribed, and analyzed by researchers. Participants consent to direct quotes being used if anonymized. By signing, participants agree to voluntarily take part, allow their de-identified words to be used, have read the information sheet, will not be paid, can request a transcript copy, and know they can contact researchers with any questions. Contact details for the research leader and adviser are provided.

Uploaded by

Ynelle Laureta-Rosales
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
15K views

Interview Consent Form

This document is an interview consent form that outlines the conditions for participation in a research interview. It specifies that the interview will be recorded, transcribed, and analyzed by researchers. Participants consent to direct quotes being used if anonymized. By signing, participants agree to voluntarily take part, allow their de-identified words to be used, have read the information sheet, will not be paid, can request a transcript copy, and know they can contact researchers with any questions. Contact details for the research leader and adviser are provided.

Uploaded by

Ynelle Laureta-Rosales
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Interview Consent Form

Interview Consent Form

Research Project Title: _________________________________________

Researchers: (put all the names of researchers)

Research Participant’s name: ___________________________________

The interview will take on_________________. We don’t anticipate that there are
any risks associated with your participation, but you have the right to stop the
interview or withdraw from the research at any time.

Thank you for agreeing to be interviewed as part of the above research project.
Ethical procedures for academic research undertaken from institutions to require
that interviewees explicitly agree to being interviewed and how the information
contained in their interview will be used. This consent form is necessary for us to
ensure that you understand the purpose of your involvement and that you agree to
the conditions of your participation. Would you therefore read the accompanying
information sheet and then sign this form to certify that you approve the following:

• the interview will be recorded and a transcript will be produced


• you will be sent the transcript and given the opportunity to correct any factual
errors
• the transcript of the interview will be analysed by all the participating
researchers
• access to the interview transcript will be limited to the participating
researchers and academic colleagues with whom they might collaborate as
part of the research process
• the actual recording will be kept for researchers copy only
• any variation of the conditions above will only occur with your further explicit
approval

Quotation Agreement

I also understand that my words may be quoted directly. With regards to being
quoted, please sign next to any of the statements that you agree with:

I wish to review the notes, transcripts, or other data collected during the
research pertaining to my participation.
I agree to be quoted directly.

1
Interview Consent Form

I agree to be quoted directly if my name is not published and a made-up


name (pseudonym) is used.
I agree that the researchers may publish documents that contain
quotations by me.

All or part of the content of your interview may be used;

• In academic papers, policy papers or news articles


• On our website and in other media that we may produce such as spoken
presentations
• On other feedback events
• In an archive of the project as noted above

By signing this form, I agree that:

1. I am voluntarily taking part in this project. I understand that I don’t have to


take part, and I can stop the interview at any time;
2. The transcribed interview or extracts from it may be used as described
above;
3. I have read the Information sheet;
4. I don’t expect to receive any benefit or payment for my participation;
5. I can request a copy of the transcript of my interview and may make edits I
feel necessary to ensure the effectiveness of any agreement made about
confidentiality;
6. I have been able to ask any questions I might have, and I understand that I
am free to contact the researcher with any questions I may have in the
future.

_____________________________________
Printed Name

_____________________________________ ____________________
Participants Signature Date

_____________________________________ ____________________
Researcher’s Signature Date

_____________________________________ ____________________
Researcher’s Signature Date

2
Interview Consent Form

_____________________________________ ____________________
Researcher’s Signature Date

_____________________________________ ____________________
Researcher’s Signature Date

Contact Information

This research has been reviewed and approved by the Polytechnic University of the
Philippines. If you have any further questions or concerns about this study, please
contact:

Name: (Research Leader)


Address:
Contact Number:
E-mail:

You can also contact the researcher’s adviser:

Name: Prof. Marynelle L. Rosales, MC


Address: 10P Tower 3 Little Baguio Terraces Condominium, N. Domingo St.,
San Juan City, Metro Manila
Contact #: 0919-312-0152
E-mail: [email protected]

You might also like