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Appendix E<br />

Inmate Consent Form<br />

STUDY PARTICIPANT INFORMED CONSENT FORM<br />

My name is Meredith Dank and I work at the Urban Institute, a non-profit research firm in<br />

Washington, DC. We are doing this study for the National Institute of Justice, U.S. Department of<br />

Justice. Our goal is to learn about your employment history prior to incarceration and your<br />

involvement in any underground economies such as drug dealing, pimping, promoting prostitution or<br />

the selling of fake goods.<br />

The following things will happen in this interview:<br />

1. You will be asked, in private, about your employment history prior to incarceration and your<br />

involvement in any underground economies such as drug dealing, pimping, promoting<br />

prostitution and the selling of fake goods. We will talk about your business and the people you<br />

worked with before going to prison. This interview will take about 45 minutes to 1 hour. You<br />

may refuse to answer any question and you may stop the interview at any time. If you want to<br />

speak with a counselor at any point during or after the interview, we will contact the<br />

appropriate person(s) to make sure you can speak to someone right away.<br />

We promise you the following things:<br />

<br />

Confidentiality: Everything you say will be kept confidential. Nobody outside of the Urban<br />

Institute team will be told your name and any other information about you without your<br />

permission. That means that the government, such as the Bureau of Prisons and FBI, and other<br />

people, such as the general public, will not know what you say to us. We are going to combine<br />

what you say with everyone else we talk with. That way no one will be able to figure out who<br />

said what.<br />

Any information that you tell us cannot be used to change your status here in . Talking to us<br />

will not change the programs or services you get in prison or when you go home.<br />

The confidentiality is protected by law under Title 28 Part 22 of the Code of Federal<br />

Regulations. That means that information discussed in the interviews (except as otherwise<br />

mentioned) are fully protected from law enforcement investigation. We also ask that you not<br />

discuss new or unprosecuted criminal activity during today’s interview. If you begin to talk<br />

about these activities, we will stop you from continuing to do so. Everyone who works on this<br />

project must sign a contract to make sure they do not to tell anyone outside of the research team<br />

anything about you.<br />

There is one exception to our promise of confidentiality. We will tell someone if you tell us<br />

specific information about child abuse, your plans to commit a future crime, or your plans to<br />

hurt yourself. But we don’t plan to talk about those things.<br />

315

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