Consent Letter Sample
Consent Letter Sample
Date: ______________________
Name: ____________________________
Under the Supervision of Prof. _____________________
University of Toronto
Department of Anthropology
19 Russell St.
Toronto, ON, M5S 2S2
Dear Participant:
The research will focus on (how you think about the future. I want to understand how far off you consider
the future to be and what values are being shaped at present that will remain important when forging
relationships with people. I think because you are in the middle of creating your own history that it is very
important to understand how young woman establish themselves). I will question you about various
topics. The topics will include (how you communicate with friends and family, the kinds of technology
used on a regular basis, what kinds of social activities you engage in with friends, how you value school
and what specifically drove you to make your school choices).
(I will need to meet you for two interviews. The first interview will take no more than two hours of your
time. The second interview will take no more than 45 minutes. With your permission, the interviews
will be recorded in note and audio form to facilitate the collection of information and later transcribed
for analysis. The location and specific times of the interview will take place at our mutual
convenience.)
Participation in this study/interview is voluntary. You may decline to answer any of the interview
questions. Further, you may decide to withdraw from the interview at any time without any negative
impact. In the event that you wish to withdraw from the interview no information collected to that point
will be used for this research.
Shortly after the interview has been completed, I will send you a copy of the transcript to give you an
opportunity to confirm the accuracy of our conversation and to add or clarify any points discussed.
All information you provide is considered completely confidential. Your name will not appear (a
pseudonym will be used) in the final paper for the course. However, with your permission, anonymous
quotations may be used. I will leave you with a copy of this consent letter and retain one copy for my own
records. The only people with access to this consent letter (in addition to you) and access to the interview
notes are me, my professor and representatives from the University of Toronto Ethics Review Office.
The collected information will only be used for the final paper in the course.
Data collected during this study will be destroyed (seven months after the completion of the course (April
1, 2010)). There are no known or anticipated risks to you as a participant in this study.
If you have any questions regarding this study/interview, you can contact me at _______________ or by
email at _____________________. You may also contact my supervisor, Professor ______________ at
(________________________________________). You may also contact the Undergraduate
Coordinator, __________________. Contact information: ____________________________________
Yours Sincerely,
________________________________