Appendix 4
Volunteer (Young person) Consent form:
Please read and sign this form. If you have any questions about the form please contact Toni Schwarz. This form is to be kept by you for your own records.
- I voluntarily agree to take part in the ‘Everyday Life’ project.
- I have read and understood the information leaflet. I have had a full explanation by the researcher (Toni Schwarz) as to what this project is about and what I am expected to do during this project.
- I have been given the opportunity to ask questions on all aspects of the project and have understood the advice and information given to me as a result.
- I agree to co-operate and follow the instructions given to me about the project. I will inform the researcher if I feel my health and well-being suffer as a result of taking part in the project.
- I understand that my personal data as outlined will be dealt with in the strictest confidence, and in accordance with the Data Protection Act (1998). I agree that I will not ask to restrict the use of the results of the project on the understanding that my anonymity is preserved.
- I understand that I am free to withdraw from the study at any time without needing to justify my decision and without prejudice.
- I understand that in the event of my suffering a significant and enduring injury as a direct result of my taking part in the project, compensation will be paid to me by the University, subject to certain proviso and limitations. The amount of compensation will be appropriate to the nature, severity and persistence of the injury and will, in general terms be consistent with the amount of damages commonly awarded for similar injury by and English court in cases where liability has been admitted.
- I confirm that I have read and understood the above and freely consent to take part in this project. I have been given adequate time to consider my taking part and agree to comply with the instructions and restrictions of the project.
Name of volunteer (Block Capitals) : ………………………………………………………………………………………
Signed : ………………………………………………………………………………………………………………………………….
Date : ……………………………………………………………………………………………………………………………………..
Name of researcher (Block Capitals) : ……………………………………………………………………………………
Signed : ………………………………………………………………………………………………………………………………….
Date : ……………………………………………………………………………………………………………………………………..
Parents Consent.
To be completed and signed by the parent / guardian of the volunteer. If you have any questions about the form please contact Toni Schwarz. This form is to be kept by you for your own records.
- As the parent/guardian of …………………………………………… I give consent for them to voluntarily take part in the ‘Everyday Life’ Project.
- I have read and understood the information leaflet, and know what will be expected of them during this project.
- I have been given the opportunity to ask questions on all aspects of the project and have understood the advice and information given to me as a result.
- I understand that my son /daughters and my personal data as outlined will be dealt with in the strictest confidence, and in accordance with the Data Protection Act (1998). I agree that I will not ask to restrict the use of the results of the project on the understanding that our anonymity is preserved.
- I understand that my son /daughter are free to withdraw from the project at any time without needing to justify their decision and without prejudice.
- I understand that in the event of my son / daughter suffering a significant and enduring injury as a direct result of them taking part in the project, compensation will be paid to them by the University, subject to certain proviso and limitations. The amount of compensation will be appropriate to the nature, severity and persistence of the injury and will, in general terms be consistent with the amount of damages commonly awarded for similar injury by and English court in cases where liability has been admitted.
- I confirm that I have read and understood the above and freely give consent, as the parent /guardian for my son /daughter to take part in this project. I have been given adequate time to consider their taking part in the project.
Name of Parent /guardian (Block Capitals) : …………………………………………………………………………
Signed : ………………………………………………………………………………………………………………………………….
Date : …………………………………………………………………………………………………………………………………….
Name of researcher (Block Capitals) : ……………………………………………………………………………………
Signed : ………………………………………………………………………………………………………………………………….
Date : ……………………………………………………………………………………………………………………………………..
1