ENGL 102 Composition II Fall 2023-2024

Consent Statements for ENGL 102 Data Collection

Directions:

Use the templates below to ensure that you have your participants’ clear consent to participate in
your research. Think carefully about whether you should add any extra statements or points to the
consent statement/letter as necessary for your own research study. Don’t forget to explain how you
will receive consent in the methodology section of your research proposal.

Template #1: Implied Consent Statement for Surveys

Include the text below at the beginning of your survey. Don’t forget to insert the
required information in the areas highlighted.

Dear participant,

My name is __________________. I am conducting a research study for an undergraduate college

course (ENGL 102) at the American University of Bahrain. The purpose of my study is to
________________________________________________________________________________.
This survey is anonymous. Should you choose to participate, your responses and identity will remain
confidential. The data collected will only be used to write a research paper for the course, and the
paper will only be read by the instructor of the course. The data and results will not be published.
By taking this survey and clicking on submit, you give me consent to use the data collected for the
purposes of this study only.

It should not take you more than X minutes to complete this survey.

Thank you for participating in this study and helping me complete the requirements of the course.

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Template #2: Informed Consent Letter for Interviews

Provide your interviewees with the informed consent letter below before you
interview them. Don’t forget to insert the required information in the areas
highlighted. Also, include a list of your interview questions.
 Date ___________________

Dear participant,

My name is __________________. I am an undergraduate student at the American University of

Bahrain. As part of the course requirements of one of my college courses (ENGL 102), I am expected
to conduct a research study.
The purpose of my study is to _________________________________________________________.
To collect my data, I will conduct ____________ (insert type of interview: individual OR focus group) interviews
with my participants.
This consent form is required to ensure that you understand the purpose of this study and to certify
that you agree to participate in this study. Please read the information listed in the statements
below and then sign this letter if you agree to be interviewed for the purposes of this study.

I, the participant, certify that I understand that:

 I will be interviewed _X__ time(s), and each interview will not take longer than ___X__
minutes.
 the time and location of the interview will be one that is convenient to me.
 the interview will only be audio recorded if I agree by signing where indicated below.
 the audio recordings will only be accessed by the researcher and will be fully erased at the
end of the study (i.e., all recordings will be deleted by April 27, 2023).
 I will not receive any benefit or payment for agreeing to be interviewed.
 there are no anticipated risks associated with my participation in this study.
 I can withdraw from participating in this study at any time, even if I sign this form.
 if I wish to withdraw from participating, I must notify the researcher in writing (see below for
researcher’s email address).
 the information I provide during the interview will be treated confidentially.
 my name will not be revealed in the paper produced at the end of the study and my identity
will remain anonymous.
 the paper will not be published and will only be read by the instructor of the course.
 the researcher will ask the questions listed below, but other questions may arise during the
interview.
 I have the right to refuse to answer any specific question or questions, and I have the right to
stop the interview at any time.
 I am free to contact the researcher- _____________ -or the instructor of the course –
_____________ – to seek further clarification.

By signing below, I confirm that I have read and understood the statements above and that I agree
to participate in this study.

Participant’s Name: ___________________________

Participant’s Signature: ___________________________ Date: ________________

Researcher’s Signature: ___________________________ Date: ________________

Permission to record interview

Please sign here if you wish to allow the researcher to audio record the interview.

Participant’s Signature: ___________________________ Date:_______________

If you have any questions or concerns about this study, please contact the researcher or the
research supervisor/instructor of the course.

Contact Information:

Researcher’s Contact Information Supervisor’s/Instructor’s Contact Information

Name: Name: Dr. Sarah Shono

Email: Email: sarah.shono@aubh.edu.bh
Phone Number: Phone Number: 7797-7047

Tentative Interview Questions:

1.
2.
3.
.
.
.

Template #3: Informed Consent Letter for Experiments

Provide your participants with the informed consent letter below before you begin
the axperiment. Don’t forget to insert the required information in the areas
highlighted. Also, include a clear description of the steps of the experiment.

Date
___________________

Dear participant,
My name is __________________. I am an undergraduate student at the American University of
Bahrain. As part of the course requirements of one of my college courses (ENGL 102), I am expected
to conduct a research study.
The purpose of my study is to _________________________________________________________.
To collect my data, I will conduct an experiment.
This consent form is required to ensure that you understand the purpose of this study and to certify
that you agree to participate in this study. Please read the information listed in the statements
below and then sign this letter if you agree to participate in this study.

I, the participant, certify that I understand that:

 the experiment will not take longer than ___X__ minutes.

 the time and location of the experiment will be one that is convenient to me.
 I will not receive any benefit or payment for agreeing to be participate in this study.
 there are no anticipated risks associated with my participation in this study.
 I can withdraw from participating in this study at any time, even if I sign this form.
 if I wish to withdraw from participating, I must notify the researcher in writing (see below for
researcher’s email address).
 the information I provide during the experiment will be treated confidentially.
 my name will not be revealed in the paper produced at the end of the study, and my identity
will remain anonymous.
 the paper will not be published and will only be read by the instructor of the course.
 I will be asked to do the following during the experiment:
1.
2.
3.
4.
 I have the right to stop the experiment at any time.
 I am free to contact the researcher- _____________ -or the instructor of the course –
_____________ – to seek further clarification.

By signing below, I confirm that I have read and understood the statements above and that I agree
to participate in this study.

Participant’s Name: ___________________________

Participant’s Signature: ___________________________ Date: ________________

Researcher’s Signature: ___________________________ Date: ________________

If you have any questions or concerns about this study, please contact the researcher or the
research supervisor/instructor of the course.

Contact Information:

Researcher’s Contact Information Supervisor’s/Instructor’s Contact Information

Name: Name: Dr. Sarah Shono
Email: sarah.shono@aubh.edu.bh
Phone Number: Phone Number: 7797-7047