Final Version May 5 07

Appendix B:
Informed Consent Form
252 Bloor Street West, Room 4-485, Toronto, Ontario M5S 1V6
Informed Consent Form
I agree to participate in a research study of the image of the teacher, as described in the
previously distributed study description. I understand the purpose and nature of this study
and am participating voluntarily. I grant permission for the data to be used in the process
of completing a Doctorate of Education Degree, including a dissertation, any future
publications (i.e. journals, books, etc.) and/or conference presentations.
I understand that:
I will participate in an initial audio taped interview of 1 to 1 ½ hours, and will be
available at a mutually agreed upon time and place for an additional 1 to 1 ½ hour
interview.
The primary researcher will conduct a written observation of me over a 2-hour
time frame while in my own classroom and engaged in normal day-to-day
activities.
Names (i.e. my names, other individuals identified, names of institutions,
organizations, local communities, etc.) and any other information (i.e., specific
identifying events, situations, dates, etc.) that potentially identifies me will be
deleted and replaced by codes during the transcription process.
Information included in the raw data not relevant to the study will not be used.
Audiotapes of the interviews will be maintained in a locked cabinet and will be
destroyed one year after the study is complete.
Transcriptions of interviews and photocopies of other raw data, as well as relevant
documents that I may voluntarily submit will be maintained in a locked cabinet
and/or a secure hard drive file and destroyed one year after the study is complete.
Transcriptions of interviews and photocopies of other raw data, as well as relevant
documents may be shared with the faculty supervisor for this research study, Dr.
Clare Kosnik of the Ontario Institute for Studies in Education, University of
Toronto
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