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Form preview Informed consent anthropology Factors Leading to Vegetarianism Title Jane Doe Names of student researchers Bob Smith 435-7890 Contact numbers jdoe hotmail.com Imogene Lim Faculty name Anthropology Faculty Supervisor 250 753-3245 x1111 We are students in an ethnographic research methods course ANTH 326 at to vegetarianism. Purpose During this study you will be asked to answer some questions as to why you became a vegetarian. This interview was designed to be approximately a half hour in length Estimated Duration. Vancouver Island University Department of Anthropology Sample Informed Consent Form for Interviews Preamble Information marked xxx is for your information and should not be included in your form. Adaptation of this template should be discussed with your supervisor. The researcher has reviewed the individual and social benefits and risks of this project with me Students should review minimal risks checklist prior to interview. I grant permission for the use of this information for a Participant to initial permission paper class presentation I grant permission to use one of the following Participant to initial permission My first name only My full name Just a pseudonym I will be given a copy of the Participant to initial permission paper audiotape videotape transcribed interview photograph s Additional conditions for my participation in this research are noted here possible conditions destruction of tape audio/video return of original material s distribution of final product as well as other original material s I have read the above form and with the understanding that I can withdraw at any time and for whatever reason I consent to participate in today s interview. Indicate where e.g. locked filing cabinet at home Only the researchers and faculty supervisor mentioned above will have access to this information. This interview is designed to learn first-hand information about this topic. Upon completion of this project all data will be destroyed or stored in a secure location. Confidentiality indicate what will become of data Participant s Agreement I am aware that my participation in this interview is voluntary. I am aware the data will be used for a paper and a class presentation. I have the right to review comment on and/or withdraw information prior to the paper s submission and class presentation. The data gathered in this study are confidential and anonymous with respect to my personal identity unless I specify/indicate otherwise. However please feel free to expand on the topic or talk about related ideas. Also if there are any questions you feel you cannot answer or that you do not feel comfortable answering feel free to indicate this and we will move on to the next question* Description All the information will be kept confidential* We will keep the data in a secure place. If for any reason at any time I wish to stop the interview I may do so without having to give an explanation* I understand the intent and purpose of this research.

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