Academic Dissertation Interview Consent Form
Researcher Details
Researcher Name:
Institution:
Contact Email:
Project Information
Dissertation Title:
Purpose of Interview:
Participant Consent
I have read and understood the information provided about the study.
I understand that my participation is voluntary.
I understand that I can withdraw at any time without giving a reason.
I understand that my responses will be kept confidential.
Interview Details
Date of Interview:
Location of Interview:
Additional Notes:
Participant Acknowledgment
Participant Name:
Signature:
Date: