A Review of Brydges Duty Counsel Services in Canada

Appendix B - Informed Consent by Subjects to Participate in a Research Project or Experiment

The University and those conducting this project subscribe to the ethical conduct of research and to the protection at all times of the interests, comfort, and safety of subjects. This form and the information it contains are given to you for your own protection and full understanding of the procedures. Your signature on this form will signify that you have received a document which describes the procedures, possible risks, and benefits of this research project, that you have received an adequate opportunity to consider the information in the document, and that you voluntarily agree to participate in the project.

Any information that is obtained during this study will be kept confidential to the full extent permitted by law. Knowledge of your identity is not required. You will not be required to write your name or any other identifying information on the research materials. Materials will be held in a secure location and will be destroyed after the completion of the study. However, it is possible that, as a result of legal action, the researcher may be required to divulge information obtained in the course of this research to a court or other legal body.

Having been asked by Adamira Tijerino of the School of Criminology of Simon Fraser University to participate in a research project experiment, I have read the procedures specified in the document.

I understand the procedures to be used in this experiment and the personal risks.

I understand that I may withdraw my participation in this experiment at any time.

I also understand that I may register any complaint I might have about the experiment with the researcher named above or with the director of the School of Criminology, Dr. Rob Gordon,of Simon Fraser University.

I may obtain copies of the results of this study, upon its completion, by contacting: Jeff Latimer at (613) 957-9589.

I have been informed that the names of the participants will be held confidential by the Principal Investigator.

I understand that my supervisor or employer may require me to obtain his or her permission prior to my participation in a study such as this.

I agree to participate by responding to the questionnaire presented by the researcher as described in the document referred to above.

NAME:
Date:

ADDRESS:

SIGNATURE:
N/A as consent will be recorded over the phone.

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