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Research Consent Form sample

Research project title : An Analysis of Cinema Distribution Systems in the 21st Century: A Case of Zim Filmmakers Whatsapp Platform

Research Investigator: Richard Tentone

Participants name: ………………………………………………………………………………………..

The interview will take 30 minutes.  We don’t anticipate that there are any risks associated with your participation, but you have the right to stop the interview or withdraw from the research at any time.

Thank you for agreeing to be interviewed as part of the above research project. Ethical procedures for academic research undertaken from Zimbabwe institutions require that interviewees explicitly agree to being interviewed and how the information contained in their interview will be used. This consent form is necessary for us to ensure that you understand the purpose of your involvement and that you agree to the conditions of your participation. By signing this form, you certify that you approve the following;

  • the interview will be recorded by a video camera
  • you will see the raw video footage and given the opportunity to correct any factual errors
  • the video interview will be analysed by Richard Tentone as research investigator
  • access to the raw video footage will be limited to Richard Tentone and academic colleagues and researchers with whom he might collaborate as part of the research process
  • the final edited video will be made available in the public domain and the participants are given opportunity to access it.

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Quotation Agreement

I also understand that my words may be quoted directly. With regards to being quoted, please initial next to any of the statements that you agree with:

  • I wish to review the notes/video collected during the research pertaining to my participation.
  • I agree to be quoted directly.
  • I agree that the researchers may publish documents that contain quotations by me.

All or part of the content of your interview may be used in academic papers, policy papers ornews articles.

By signing this form I agree that;

  • I am voluntarily taking part in this project. I understand that I don’t have to take part, and I can stop the interview at any time;
  • The interview footage or extracts from it may be used as described above;
  • I don’t expect to receive any benefit or payment for my participation;
  • I can request a copy of the interview of my interview and may make edits I feel necessary to ensure the effectiveness of any agreement made about confidentiality;
  • I have been able to ask any questions I might have, and I understand that I am free to contact the researcher with any questions I may have in the future.

Name of Participant:………………………………………………………………………………………………

Participants Signature:…………………………………………………….. Date:…………………………..

Researchers Signature:…………………………………………………….. Date:…………………………..

 

Contact Information

This research has been reviewed and approved by the College of Creative Arts Africa Ethics Board. If you have any further questions or concerns about this study, please contact:

Researcher

Research Supervisor

Richard Tentone

Mobile: +263 772 591 932

Email: richtento@gmail.com

Mr./Mrs………

Mobile: +263 **********

Email:*******************

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