CONSENT FORM FOR OBSERVATION DURING FORMAL AND INFORMAL MEETINGS
1. Information on the research project
You have been invited to participate in the following research project:
SPECIFY THE TITLE OF YOUR RESEARCH PROJECT HERE (REMEMBER
TO REMOVE ALL
INSTRUCTIONS IN GREY BEFORE SUBMITTING THE DOCUMENT TO THE REB.)
This project is being conducted by:
YOUR STATUS (EX. PROFESSOR, MASTER’S OR PH.D. STUDENT) YOUR NAME, YOUR EMAIL
ADDRESS, YOUR TELEPHONE NUMBER
SUPERVISOR, CO-SUPERVISORS, CO-INVESTIGATORS, THEIR NAMES, EMAIL ADDRESSES,
TELEPHONE NOs.:
Master’s OR Ph.D. student, HEC Montréal:
Supervisor:
YOUR NAME
NAME
Tel.: 000-000-0000
Tel.: 000-000-0000
Email:
Email:
Summary: PROVIDE A BRIEF SUMMARY OF YOUR RESEARCH PROJECT, USING LANGUAGE
THAT RESPONDENTS CAN EASILY UNDERSTAND (AVOID JARGON). MAXIMUM OF 5 LINES.
2. Research ethics considerations
Your organization has agreed to participate in this research project. The researcher is requesting your
authorization to observe formal and informal meetings.
HEC Montréal’s Research Ethics Board has determined that the data collection related to this project
meets the ethics standards for research involving humans. If you have any questions related to ethics,
please contact the REB secretariat at (514) 340-6051 or by email at cer@hec.ca. Do not hesitate to ask
the researcher any questions you might have.
3. Confidentiality of personal information gathered
You should feel free to answer the questions frankly. The researcher, as well as all other members of the
research team, if applicable, undertake to protect the personal information obtained by ensuring the
protection and security of the data gathered from participants, by keeping all recordings in a secure
location, by discussing the confidential information obtained from participants only with the members of
the research team and by refraining from using in any manner data or information that a participant has
explicitly requested be excluded from the research.
Furthermore, the researchers undertake not to use the data gathered during this project for any purpose
other than that intended, unless approved by HEC Montréal’s Research Ethics Board. Please note that
by consenting to participate in this research project, you also consent that the data gathered may
be used for future research projects, subject to approval of any such projects by HEC Montréal’s
Research Ethics Board.
All persons who may have access to the content of your interview, as well as the person in charge of
transcribing the interview, have signed a confidentiality agreement.
4. Authorization to participate as an observer (non-participant) and protection of personal
information in the publication of research results
The information that you provide will be used to produce a document that will be made public. It is up to
you to indicate the level of protection of your personal information that you would like with regard to the
publication of the research results. IT IS NOT ESSENTIAL TO OFFER A CHOICE; A SINGLE OPTION
MAY SUFFICE. As such, you must indicate to us whether or not you consent to be the subject of
observation as part of this research project. The observation will be conducted during formal or informal
meetings.
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KEEP ONLY THOSE OPTIONS THAT YOU PLAN TO ACTUALLY USE. MOREOVER, THE OPTIONS
SHOULD REFLECT YOUR SPECIFIC SITUATION. FOR EXAMPLE, INDICATE WHETHER YOU
INTEND TO MENTION THE NAME OF THE ORGANIZATION, OR WHETHER YOU INTEND TO REFER
TO THE RESPONDENTS AS MANAGERS, EMPLOYEES OR OTHERWISE IN THE RESEARCH
RESULTS. THIS SHOULD ALSO BE SPECIFIED TO THE RESPONDENT.
Option 1:
I consent to being the subject of observation by the researcher and to my title only
being mentioned in the publication of the research results. Under no
circumstances may my name be disclosed.
If you check this box, only your title will be disclosed in the dissemination of the research results and you
are giving your consent to be observed by the researcher. It will also be mentioned that this research
project is being conducted at IDENTIFY THE ORGANIZATION. It is therefore possible that a party inside
or outside the project team could obtain your name by cross-referencing. Consequently, complete
protection of your anonymity cannot be assured.
Option 2:
I consent to being the subject of observation by the researcher, but I do not wish
either my name or my title to be mentioned in the publication of the research
results.
If you check this box, you are giving your consent to be observed by the researcher, but no information
concerning either your name or your title will be disclosed in the dissemination of the research results.
However, it will also be mentioned that this research project is being conducted at IDENTIFY THE
ORGANIZATION. It is therefore possible that a party inside or outside the project team could obtain your
name by cross-referencing. Consequently, complete protection of your anonymity cannot be assured.
Option 3:
I refuse to be the subject of observation by the researcher.
In this case, all information concerning you will be omitted from the dissemination of the research results.
SIGNATURE OF THE PARTICIPANT IN THE MEETING:
First and last name:
____________________________________________________________________
Signature: ________________________________________ Date (dd/mm/yyyy): _______________
RESEARCHER’S SIGNATURE:
First and last name:
____________________________________________________________________
Signature: _________________________________________ Date (dd/mm/yyyy): _______________
A SIGNED COPY OF THIS FORM MUST BE GIVEN TO EACH PARTICIPANT.
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