Sorority Rituals - Reflections On Rites of ... - Mari Ann Callais

Appendix A: Interview Consent Form
INTERVIEW CONSENT FORM
College of Education, Louisiana State University-Baton Rouge
Title of Research Study: Sorority Rituals: Rites of Passages and Their
Impact on Contemporary Sorority Women
Principle Investigators: Mari Ann Callais W: (985)549-2248
H: (985)345-7999
Becky Ropers-Huilman, Ph.D. W: (225)388-2892
I, , agree to be interviewed by Mari Ann Callais for purposes of
dissertation research. I understand that I may be asked to reveal information of a personal
nature during the course of this interview, and that every effort will be made by the
investigator to protect my confidentiality. Any identifying information will be eliminated
from the research report, and transcripts and audio-tapes of this interview will be stored in
a secure location with access limited to the principle investigators.
I also understand that my participation is entirely voluntary, and I may withdraw
consent and terminate participation in all or part of the interview at any time without
consequence. In addition, I will have an opportunity at the end of this interview to discuss
any concerns and ask questions that I may have. I will also be entitled to a copy of the final
research report if I so desire.
______________________________________________________________________
I have been fully informed of my rights, and I give my permission to be interviewed.
_________________________ ___________________________
Subject’s name (please print) Birth date
______________________________________________________________________
Subject’s signature Today’s date
___ I would like a summary copy of the final research report. If yes, please give
address: ________________________________________________________
___ I do not wish to have a copy of the final research report.
____________________________________________________
TO BE COMPLETED BY INVESTIGATOR
Case ID No. ____ ____ ____ Number of Tapes ____________
142