Title of Study: Ethnography of Cinema-L
Researcher: Anita Colyer (under supervision of Mary Mander)
address: 555 Kemmerer Road, State College, PA 16801
phone: 814-863-8297 (O) fax: 814-865-3290
e-mail: afc1@cde.psu.edu
Date: April 18, 1996
EXPLANATION OF STUDY
I am conducting an ethnography of the Cinema-L electronic mail discussion group. I would like to explore the reasons why people participate in the group, as well as the meaning that they make of the e-mail exchanges that take place. I plan to submit questions to the group network as part of the general discussion, and I also plan to conduct individual interviews with Cinema-L volunteers. My general area of interest is "the use of electronic media as a social practice."
CONSENT FORM
This is to certify that I, ________________________________, hereby agree to participate as a volunteer in this scientific study as an authorized part of the education and research program of The Pennsylvania State University under the supervision of Anita Colyer.
The investigation has been defined and fully explained to me by Anita Colyer, and I understand her explanation. I have been given an opportunity to ask whatever questions I may have had and all such questions and inquiries have been answered to my satisfaction.
I understand that I am free to deny any answers to specific items or questions in interviews or questionnaires. I understand that any data or answers to questions will remain confidential with regard to my identity. I understand that, in the event of injury resulting from this investigation, neither financial compensation nor free medical treatment is provided for such an injury, and that further information on this policy is available from the Office of the Senior Vice President for Research and Dean of the Graduate School, 114 Kern Graduate Building (814) 865-1775.
I FURTHER UNDERSTAND THAT I AM FREE TO WITHDRAW MY CONSENT AND TERMINATE MY PARTICIPATION AT ANY TIME.
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Date Subject's Signature
I, the undersigned, have defined and fully explained the investigation to the above subject.
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Date Researcher's Signature