TEMPLATE CONSENT FORM
Good morning/afternoon, my name is [INTERVIEWER’S NAME].
We are conducting research for [TRINITY COLLEGE DUBLIN] aimed at understanding [ADD
HERE A BRIEF DESCRIPTION OF THE PROJECT]. You are invited to take part in this study. All
information collected in this study will remain confidential and anonymous, and will not be
passed on to any third parties for purposes other than academic research. This study has
received ethical approval by the Research Ethics Committee of the [SCHOOL OF SOCIAL
SCIENCES AND PHILOSOPHY/FACULTY OF ARTS, HUMANITIES AND SOCIAL SCIENCES].
The researchers responsible for this study are:
INSERT NAMES OF RESEARCHERS
Email: INSERT RESEARCHERS’ EMAIL ADDRESSES HERE
They are available to answer any questions regarding the project or any data collected
during this project that you may have. You can also contact them at any point in time if you
would like to withdraw from this study, even after you have already answered our
questionnaire.
If you agree, we will today be asking some questions today for about [ADD HERE LENGTH OF
THE INTERVIEW].
PARTICIPANT'S NAME:
____________________________________________
CONTACT DETAILS:
____________________________________________
PARTICIPANT'S SIGNATURE:
____________________________________________
DATE
____________________________________________
Statement of investigator's responsibility: I have explained the nature and purpose of this
research study, the procedures to be undertaken and any risks that may be involved. I have
offered to answer any questions and fully answered such questions. I believe that the
participant understands my explanation and has freely given informed consent.
INVESTIGATOR’S SIGNATURE:
DATE
____________________________________________
____________________________________________