SIMON FRASER UNIVERSITY

INFORMED CONSENT BY SUBJECTS TO PARTICIPATE

IN A RESEARCH PROJECT OR EXPERIMENT

The University and those conducting this project subscribe to the ethical conduct of research and to the protection at all times of the interests, comfort, and safety of subjects. This form and the information it contains are given to you for your own protection and full understanding of the procedures. Your signature on this form will signify that you have received a document which describes the procedures, possible risks, and benefits of this research project, that you have received an adequate opportunity to consider the information in the document, and that you voluntarily agree to participate in the project.

Having been asked by David Gerhard of the School of Computing Science of Simon Fraser University to participate in a research project experiment, I have read the procedures specified in the document.

I understand the procedures to be used in this experiment. I understand that I will be listening to a series of audio samples and that I will be completing a survey about the audio samples. I understand that no personal information will be retained apart from my age, my gender and how well I am trained in speaking and singing.

I understand that I may withdraw my participation in this experiment at any time.

I also understand that I may register any complaint I might have about the experiment with the researcher named above or with the Director of the School of Computing Science, Binay Bhattacharya, at 291-4277.

I may obtain copies of the results of this study, upon its completion, by contacting David Gerhard.

I have been informed that the results of this research may be published, and that my identity will be kept confidential.

I understand that my supervisor or employer may require me to obtain his or her permission prior to my participation in a study such as this.

I agree to participate by listening to sound samples and completing a survey about the sounds I hear.

NAME (please type or print legibly): ______________________________________

ADDRESS: __________________________________________________________

______________________________________________________________________

 

SIGNATURE: _______________________ WITNESS: ______________________

 

DATE: