Informed Consent Form for Alternative Firm Analysis and
Contemporary Research Paper Projects for ES/SOSC 4041.6,
Alternative Economic Firms and Organizations
Project lead: INSERT YOUR NAME HERE
Date of consent:_______________________
To Whom It May Concern:
This form is intended to inform you, the interviewee, of the nature, scope, and purpose of
this interview.
1) I am interviewing you in order to complete a research project for ES/SOSC
4041.6 – Alternative Economic Firms and Organizations taught at York
University.
2) This course is taught by course director Marcelo Vieta of the Business and
Society Program, Division of Social Science, Faculty of Arts, York University.
He can be reached at 416.940.0340 or vieta@yorku.ca if you have any concerns.
3) The purpose of this research is to gather information for my final paper for this
course, which is based on an analysis of your firm. The information gathered from
the interview and the material produced as a result of my research of your firm
will not appear anywhere else unless I contact you again and expressly receive
your approval for further publication.
4) All information obtained will be kept secure and private.
5) If you wish, you may request that your name not be attached to statements or the
research project.
6) This research contains no deceptive modes of research gathering, it is simply to
gather information about the nature, structure, and future plans of your
organization.
7) By signing below, you agree that you have been informed of the nature and scope
of this project, and that you consent to this interview.
Thank you for your time and interest in this project.
Name (please print): __________________________________________________
Signature: __________________________________________________________