Consent Forms (1)

Here are two from a student who took my field methods class last year, but is now working on an independent study with me about adolescent culture as well (what do you think?)

Participant Form
The Richard Stockton College of New Jersey
Department of Anthropology
Informed Consent
Description and Purpose of the Research

___________________________ is conducting research to fulfill requirements for a college course titled _________________________________________________.
This research consists mainly of ethnographic fieldwork, which involves observations and interviews, as well as interpretation and analysis of information gathered from these activities. Ethnography is a kind of research commonly done by scholars in social science fields such as Anthropology. The general purpose of this ethnographic research is to learn how a group of adolescents makes sense of their own community and relationships with each other, as well as their surrounding communities and schools.
For this study I will be creating an ethnographic web page through MySpace for the use of those who wish to participate in this project. All privacy settings will be on and content will be seen only by me, the other group members, and my professor. The MySpace page is intended to be a creative/educational, format/content collaboration between me and the group participants, with the intent of the participants being co-authors of the page. This research will be used for individual presentation and only read by the professor.

Participant’s Agreement:

I am aware that my participation in this project is voluntary. If, for any reason, at any time, I wish to stop the interview or leave the group, I may do so without having to give an explanation. I understand the intent and purpose of this research. The researcher has reviewed the individual and social benefits and risks of this project.
I am aware that the data will be used for a paper and presentation. I have the right to review, comment on, and/or withdraw information prior to the paper’s submission and presentation. The data in this study are confidential and anonymous with respect to my personal identity unless I specify/indicate otherwise.

I grant permission for the use of this information for a [participant to initial permission]
____________ Paper ____________ Presentation

I do______/do not_______wish that my identity be kept confidential.

I have read the above form, and, with the understanding that I can withdraw at anytime, and for whatever reason, I consent to participate in this project.

____________________________ ____________
Participant’s signature Date

_____________________________________
Print Name

Contact Information:
If you have any questions, concerns, or complaints about this research project, please contact my advisor, Joseph Rubenstein, Professor of Anthropology. Joe.Rubenstein@Stockton.edu

Parental Form
Description and Purpose of the Research

___________________________ is conducting research to fulfill requirements for a college course titled _________________________________________________.
This research consists mainly of ethnographic fieldwork, which involves observations and interviews, as well as interpretation and analysis of information gathered from these activities. Ethnography is a kind of research commonly done by scholars in social science fields such as Anthropology. The general purpose of this ethnographic research is to learn how a group of adolescents makes sense of their own community and relationships with each other, as well as their surrounding communities and schools.
For this study I will be creating an ethnographic web page through MySpace for the use of those who wish to participate in this project. All privacy settings will be on and content will be seen only by me, the other group members, and my professor. The MySpace page is intended to be a creative/educational, format/content collaboration between me and the group participants, with the intent of the participants being co-authors of the page. This research will be used for individual presentation and only read by the professor.

Parental Consent:

I am aware that my teenager is participating in this project, and that participation is voluntary. If, for any reason, at any time, I wish for my teenager to stop the interview or leave the group, I may have him/her do so without having to give an explanation. I understand the intent and purpose of this research. The researcher has reviewed the individual and social benefits and risks of this project.
I am aware that the data will be used for a paper and presentation. I understand that my teenager will be using MySpace, and that no one outside of the group will be able to view the website. I am aware that all content posted by participants is confidential and will be monitored. I will respect my teenager’s privacy in regards to this project, and understand that if any information is posted by my teenager that causes alarm to the researcher I will be contacted immediately. I have the right to request information about this project at any time. The data in this study are confidential and anonymous with respect to my teenager’s personal identity unless he/she specifies or indicates otherwise.
I have read the above form, and, with the understanding that I can contact the researcher with questions or withdraw my teenager from this project at anytime, and for whatever reason, I grant my teenager permission to participate in this project.

____________________________¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬________
Participant’s Name

_____________________________________ ____________
Parent’s Signature Date

Contact Information:
Gina Roseboro
gina.roseboro@gmail.com
856-981-4428