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THE CITY UNIVERSITY OF NEW YORK

Hunter College, CUNY


Philosophy Department

CONSENT TO PARTICIPATE IN A RESEARCH STUDY

Title of Research Study: Urban Indigeneity: Quechuas in Virginia and Kichwas in New
YorkIndigeneity and Immigration: Quechuas in Virginia and Kichwas in
New York

Principal Investigator: Arnold Arnez: Majoring in Philosophy andat Hunter College, CUNY
Principal Investigator

Faculty Advisor: Professor Jacqueline Brown: Ph.D. in Anthropology


Faculty Advisor, Department of Anthropology @ Hunter College,
CUNY

Research Sponsor: Hunter Foundation

You are being asked to participate in a research study because you are identify as a
Quechua/Kichwa or are a the descendants descendent of a Quechua/Kichwa parent(s) or
grandparent(s) and have lived live(ed) in the Quechua Bolivian community of Virginia or Kichwa
Ecuadorian community of New York.

Purpose:
The purpose of this research study is to study the effects , if any, of immigration and life in within
Anglo and Latino communities for Quechuas/Kichwas, immigrants and their children, and their
grandchildren. This will include your perspectives and use of theon the Quechua/Kichwa language,
feeling of being an Indigenous immigrant, , and perspectives on Indigenous identity, and Indigenous
in your current, or imagined future, family life.

Procedures:
If you volunteer to participate in this research study, we will ask you to do the following:

 We will find a comfortable space in the designated location to conduct the interview as per,
you, the participant’s choice. I will then proceed to ask the participant what language he/she
would prefer the interview (Either English or Spanish).
 We will begin the interview by saying a pre-scripted introduction in the beginning of the
recording: “I am Arnold Arnez and I am interviewing [insert participant’s name or
his/her/their chosen alias] from [New York or Virginia] on [insert date and time of
interview] for the project ‘Indigeneity and Immigration: Quechuas in Virginia and Kichwas in
New York’. This interview will take approximately 1 to 2 hours and will be conducted in
[Insert either English or Spanish].” [End of intro]

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 Next Wwe will proceed to interview the participant using all the questions in the interview
sheet. [pre-written]. These will include questions concerning all the reasons listed in the
“Purpose” section.
 Finally we will end off the interview by saying “This is the end of the interview. Thank you
very much for your participation.” [End of Conclusion]. The Audio recording will then end
and the device recording will be saved in a secure area.

Audio Recording
 Of the procedures that will be recorded, only the Interview procedure will be recorded. This
will be done to later make a transcription and be reviewed by all those participating ensure
that accuracy is had with the Commented [A1]: No transcripts will be produced after the
interviews.
 In the case that you do not want to be audio recorded, you may choose to check off the “I do
NOT agree to be audiotaped” option below and to have the interview recorded using only
handwritten notes.
 All recorded procedures will be audio only.

Time Commitment:
Your participation in this research study is expected to last for a total of approximately 1 hour to 2
hours. 1 hour and a half.

Potential Risks or Discomforts:

 Discomfort during the interview may occur. If any topic or any specific question causes you
discomfort to you, the interviewee, that would not allow you to continue the interview you
may answer as you see fit, move onto another question, or you may withdraw yourself from
the interview.you do not have to answer and I will move onto another question.
 To protect from a confidentiality breach (when someone outside of the research team gains
access to interview files), all recordings will be password encrypted and will not have any
identifiers (e.g. name) linking you to the interviews.
 NO questions concerning the participant’s legal status as an immigrant, current or previous,
or of anyone else’s immigration status will be asked. If the participant wishes to discuss
his/her immigration status it will be at his/her own voluntary choice. The participant will
be able to discuss editing the transcript later on in the research to remove any mention of
legal status concerning immigration or any names of people of places. Commented [A2]: The interview will not be concerned or ask
questions concerning immigration.

Potential Benefits: Formatted: Normal


“You will not directly benefit from your participation in this research study.” However this may
help the investigator understand language, culture, and community for the Quechua in
Virginia and Kichwa in New York.

Payment for Participation:


You will not receive any payment for participating in this research study.

New Information:

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You will be notified about any new information regarding this study that may affect your
willingness to participate in a timely manner.

Confidentiality:
We will make our best efforts to maintain confidentiality of any information that is collected during
this research study, and that can identify you. We will disclose this information only with your
permission or as required by law.

We will protect your confidentiality by storing the information on a clearly specified and well
hidden external hard drive (usb drive or sd card) with it being shared only amongst the research
team. Data will be stored in a secure, locked cabinet in Hunter College, only be accessible to the
investigator and faculty advisor. All files will be stored without identifiers (e.g. name). As per CUNY
policy, all data will be stored for 3 years after the end of the project and then destroyed.

There will be no use of direct cites or quotations from the interviews.

The research team and authorized CUNY staff, faculty of the Hunter Foundation, and government
agencies that oversee this type of research may have access to research data and records in order to
monitor the research data. No data will be provided to unauthorized, Research records provided to
authorized, non-CUNY individuals. will not contain identifiable information about you. Publications
and/or presentations that result from this study will not identify you by name unless you indicate
otherwise.This data will not be published in any public medium (articles, books, presentations, etc.)

Participants’ Rights: Formatted: Font: Not Bold


 Your participation in this research study is entirely voluntary. If you decide not to Formatted: No bullets or numbering
participate or wish to withdraw from the research at any time, there will be no penalty to you, and
you will not lose any benefits to which you are otherwise entitled. If you withdraw, all files showing
your participation in the project will be destroyed. You can decide to withdraw your consent and
stop participating in the research at any time, without any penalty.

If you wish to review, edit, or erase the recording the recording, you may contact either I, Arnold Formatted: Font: Cambria, 12 pt
Arnez, or Professor Jacqueline Brown using the contact information below.

Questions, Comments or Concerns:


If For you have any questions, comments or concerns about the research, you can talk to one
ofcontact the following researchers:
Arnold Arnez – Cel: (646) 384-0337; Email: Arnold.arnez89@myhunter.cuny.edu
Professor Jacqueline Brown – Email: jnbrown@hunter.cuny.edu

If you have questions about your rights as a research participant, or you have comments or
concerns that you would like to discuss with someone other than the researchers, please call the
CUNY Research Compliance Administrator at 646-664-8918 or email HRPP@cuny.edu. Alternately,
you can write to:
CUNY Office of the Vice Chancellor for Research
Attn: Research Compliance Administrator
205 East 42nd Street

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New York, NY 10017

Signature of Participant:
If you agree to be audiotaped, please indicate this below.

_________ I agree to be audiotaped


_________ I do NOT agree to be audiotaped

If you agree to participate in this research study, please sign and date below. You will be given a
copy of this consent form to keep.

_____________________________________________________
Printed Name of Participant

_____________________________________________________ __________________________
Signature of Participant Date

Signature of Individual Obtaining Consent

_____________________________________________________
Printed Name of Individual Obtaining Consent

_____________________________________________________ __________________________
Signature of Individual Obtaining Consent Date

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