Standard Consent Form

Please select the user research/non-research inquiry activity in which you wish to participate: *

I understand that I have been asked to participate in user research/non-research inquiry.

Yes

I understand that this activity has not been approved by a Research Ethics Board.

Yes

I understand the purpose of this activity.

Yes

I understand the potential benefits and risks associated with participating.

Yes

I understand that my participation is completely voluntary and my choice.

Yes

I understand I am free to stop participating (within limits), and I do not need to provide a reason.

Yes

I understand how information will be collected, stored, and used.

Yes

I understand who will have access to the information that is collected.

Yes

I have had the opportunity to ask questions and discuss the activity.

Yes

(if applicable) I understand that some or all of my participation will be audio and/or video-recorded.

Yes

I am over the age of 18.

Yes

I agree and want to participate in this user research/non-research inquiry.

Yes

First Name *

Last Name *

Email *

eCampusOntario will keep a copy of this consent form for our records. We will send you a copy at the e-mail address you provided.

Date

Signature *

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