consent form

CONSENT FORM

The National Science Foundation designs, conducts, and sponsors surveys on science, engineering, and technology. In order to produce the best information possible, the National Science Foundation routinely evaluates its surveys.

You have volunteered to take part in a study to improve one of the National Science Foundation’s surveys. In order to have a complete record of your comments, your interview session will be audio recorded (and/or videorecorded). We plan to use the recordings to improve the survey. Staff directly involved in this research project will have access to the recordings. In addition, a transcription service may have access to the audio recordings, to provide us with a written version of your comments. The recordings may also be used for training other survey staff to conduct this type of research. We will not identify your name or institution in any public reports summarizing the findings of these interviews.

This study is authorized by law (42 U.S.C. 1862 Section 3.a.6.).

I have volunteered to participate in this study, and I give permission for my tapes to be used for the purposes stated above.

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Researcher’s Signature Participant’s Signature

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Printed Name Printed Name

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