Sample Of The Qualitative Research Proposal Page 32

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RESEARCH PAPER SAMPLE
31
Informed Consent Form, page 2
Title of your Research Study
This document acknowledges you understand of your rights as a participant in this study, which
the researcher has explained to you prior to signing this document.
I acknowledge that the researcher has explained my rights, the requirements of this study, and
the potential risks involved in participating in this study. I understand there is no compensation
for, or direct benefit of participating in this study. By signing below and providing my contact
information I am indicating that I consent to participate in this study, that I am at least 18 years
of age, and I am eligible to participate in this study.
You may withdraw from this study at any time by notifying me by email. If you have any
concerns regarding your participation in this research study you may contact my faculty advisor,
Dr. ______________________, or the BGS IRB committee. You may ask for a copy of this
document for your own records.
Signed Name: _____________________________________________ Date: _______________
Printed Name: _____________________________________
Phone Number, Email Address, or Postal Address: ____________________________________
_____________________________________________________________________________
Thank you for your participation,
Student’s name
MSA in ___________________
Trinity Washington University
Email Address: @students.trinitydc.edu
Dr. ________________________
MSA Program
BGS Institutional Review Board Committee
Trinity Washington University
(202) 884-9620, or
@mail address: @trinitydc.edu
Email
BGS@TrinityDC.edu
with BGS IRB in
(202) 884-9620
the subject line.
The BGS Institutional Review Board (IRB) oversees the ethical practice of research
involving human participants conducted by students of the trinity Washington University
School of Business and Graduate Studies.

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