You are on page 1of 2

Undergraduate Rhetoric Program Informed Consent for Student Research Paper Survey Description and Purpose of the Research:

: To fulfill the requirements of a college course, ____________________, ________________


Course Name Student Name

is collecting information on an issue [___________________________________________________________________________]


Description of Issue

and is interested in _______________________________________________________________________. The purpose of ethnographic research is to discover how people in a particular community understand their own lives, their behaviors and their cultures in their own terms. For example, an ethnographic researcher may attempt to discover how the members of a sorority make sense of their group and define the rules they live by. Your information will become part of a general pool of data on this issue. A pseudonym will be used where necessary when referencing your individual material, otherwise your information will be included in a general, anonymous pool of informants. Voluntary Participation: You may choose to refuse to continue this interview at any time, may choose to have your responses destroyed and be unavailable for the research. You will experience no penalty from your refusal. Confidentiality: In this study, every effort will be made not to reveal personally identifiable information in publications based on this research. To accomplish this, no records will be created or retained that could link you to personally identifiable descriptions, paraphrases, or quotations. Your actions or things you say may be presented without specific reference to you, reference only by pseudonym, or combined anonymously with the actions and words of other participants. Surveys are designed to be anonymous, with no information requested that could lead to personal identification.

Document1

Risks and Benefits: There is no more than the minimal risk from everyday life. Potential benefits outweigh the risks. Benefits include, primarily, making available to the community greater knowledge on a particular research issue. Consent Statement I have read and understand the forgoing description of this research project, including information about the risks and benefits of my voluntary participation. I am 18 years of age or older. Please indicate that you have read and understand the above consent statement by checking the appropriate box on the following survey response form.

Contact Information: If you have any questions about your rights as a participant in this study or any concerns or complaints about this research project, please contact the Responsible Project Investigator (RPI), Kelly Ritter, Director, Undergraduate Rhetoric Program, ritterk@illinois.edu, Project Investigator (PI), or Research Staff (RS): Richard Nardi, Associate Director, Undergraduate Rhetoric Program, 217-244-1458, rnardi@illinois.edu.

If you have any questions about your rights as a participant in this study or any concerns or complaints, please contact the University of Illinois Institutional Review Board at 217-333-2670 (collect calls will be accepted if you identify yourself as a research participant) or via email at irb@illinois.edu.

Document1