Form 1 - Student Research Consent Form - Memorial University Of Newfoundland


This form is part of the process of informed consent. It should give you the basic idea of what the research is about and
what your participation will involve. If you would like more detail about something mentioned here, or information
not included here, you should feel free to ask. Please take the time to read this carefully and to understand any
other information given to you by the researcher.
I, _______________________________ (participant) allow ______________________ (student researcher) to
use the voluntarily recorded materials described below for research towards the completion of an
assignment in the course Folklore ________ (course number) ________ (semester),
for the Department of Folklore, Memorial University of Newfoundland, Canada.
List the materials obtained from the participant (i.e. recordings, photographs, etc).
As the participant, I understand that the uses of this research may include class papers and in-class
presentations. I give the student researcher permission to use these materials at his / her discretion for
all academic purposes.
Yes: ____ No: ____
Yes, with the following exceptions:________________________________________.
As the participant, I give permission for the student researcher to use my name in the communication of this
Yes: ____ No: ____
I wish to be identified as ___________________ (give preferred name or pseudonym).
As the participant, I understand that the student researcher will (choose one):
________ keep the materials in their possession
________ deposit the materials in a public archives or museum collection (such as Memorial University
Folklore and Language Archive*)
_________ destroy the materials after the completion of their assignment
* If depositing in Memorial University Folklore and Language Archive, I have read and signed the Informant
Contract and I understand that the Archive will, at the discretion of the archivists, allow researchers to use the
materials listed above.
Yes: ____ No: ____
Your signature on this form means that:
* You have read the information about the research
* You have been able to ask questions about this study
* You are satisfied with the answers to all of your questions
* You understand what the study is about and what you will be doing
* You understand that you are free to withdraw from the study at any time, without having to give a
reason, and that doing so will not affect you now or in the future.


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