You are being asked to participate in a research investigation as described in this form below. All such research projects carried out within this department are governed by the regulations of Springfield College. These regulations require that the researcher obtain from you a signed agreement (consent) to participate in this project.
The researcher will explain to you in detail the purpose of the project, the procedures to be used, and the potential benefits and foreseeable risks of participation. You may ask the researcher any questions you may have to help you understand the project and you may expect to receive satisfactory answers to questions. A basic explanation of the project is written below.
If after discussion, you decide to agree to participate in the project, please sign this form on the line indicated below in the presence of the researcher.
1. The purpose of this research project is to explore the community’s (community based organizations) perspective of town-gown relationships.
2. The information obtained in this research project will provide knowledge to researchers with the goal of strengthening university-community relationships
3. The approximate number of participants involved in this project is 15
4. You have been selected to participate in this research project because you provide services to our target population and have knowledge of the community.
5. The information in this project will largely be collected by myself and will take approximately 45-60 minutes.
6. This interview will be recorded and transcribed and returned back for participant confirmation
7. Reports will be written and shared with participants, but all names and place names will be changed to avoid identification of individuals.
8. Names of participants will be kept confidential. Transcripts and field notes will be stored in a secure place by the researcher and not used for purposes other than the current study.
9. You are free to withdraw from this project at any time without penalty. All information you have given will be shredded or returned.
You may contact the researcher at any time at the above phone number. If you have any concerns about this research project, please contact my professor at the above phone number.
I certify that I have read the information above and fully understand the above project. All my questions have been answered to my satisfaction by the researcher. I willingly consent to participate in this research project with the understanding that I may withdraw at any time without prejudice. I agree the research data generated may be published provided my name is not used or that I am not otherwise identified.