SayPro Interview Consent Form (if used)

SayPro Interview Consent Form

Project/Program Title:

Insert the name of the project or program

Interviewer Name:

Insert the name of the interviewer

Date:

Insert the date of the interview

1.SayPro Introduction and Purpose of the Interview

You are being invited to participate in an interview as part of a research or program evaluation project conducted by SayPro. The purpose of this interview is to gather your insights, experiences, and feedback related to [insert topic of research or project]. The data collected will help improve SayPro’s programs and services, and may be used for internal reporting, publications, and future project planning.

2.SayPro Voluntary Participation

Your participation in this interview is entirely voluntary. You have the right to refuse to answer any questions and to stop the interview at any time without penalty. Your decision to participate or not will not affect your involvement in any of SayPro’s programs or services.

3.SayPro Confidentiality and Privacy

All information shared during the interview will be treated confidentially. Your responses will be used for the purposes of this project only and will not be attributed to you personally without your consent. Any personal identifying information will be kept confidential and securely stored. If the interview data is used in any reports or publications, it will be presented in aggregate form or in a manner that does not identify you.

If at any point you prefer not to have your responses included in the study, you are free to withdraw your participation, and any information provided will be excluded from the project.

4.SayPro Recording of the Interview

[ ] Audio Recording: The interview will be audio-recorded for the purpose of accurate data collection. If you do not wish to be recorded, please indicate your preference:

• I agree to being audio-recorded during the interview.
• I do not agree to being audio-recorded during the interview.

[ ] Video Recording: If applicable, video recordings may be used for further analysis or documentation. Please indicate your preference:

• I agree to being video-recorded during the interview.
• I do not agree to being video-recorded during the interview.

5.SayPro Risks and Benefits

There are no foreseeable risks associated with your participation in this interview. The potential benefits include contributing to the improvement of SayPro’s programs and services, as well as providing valuable insights into the impact of the work we do.

6.SayPro Consent to Participate

By signing below, you confirm that you have read and understood the information provided above. You agree to participate in the interview, and you understand that you may withdraw your participation at any time without penalty. If you have any questions about the interview, please feel free to ask before you begin.

7.SayPro Contact Information

If you have any questions or concerns about your participation in the interview or the use of the data, please contact:

• SayPro Contact Person: [Insert Name]
• Email: [Insert Email]
• Phone: [Insert Phone Number]

8.SayPro Consent

Participant’s Name: _______________________________

Participant’s Signature: ____________________________

Date: ____________________________

Interviewer’s Name: ________________________________

Interviewer’s Signature: ___________________________

Date: ____________________________

9.SayPro Additional Notes

(Any additional information or special considerations for the interview process)

Example:

Participant’s Name: John Doe

I agree to participate in the interview as described above:

• [✔] I agree to being audio-recorded during the interview.
• I do not agree to being video-recorded.

Participant’s Signature: ___________________________
Date: ___________________________

SayPro Key Points for the Interview Consent Form:

1. Transparency: The interviewee must be informed about the purpose, process, and potential uses of the data.
2. Voluntary Participation: Participation must be completely voluntary, with the right to withdraw at any time.
3. Confidentiality: Personal information and responses must be kept confidential, and no identifying information should be shared without consent.
4. Recording: If the interview is being recorded, this should be explicitly mentioned, with the participant’s consent obtained.
5. Contact Details: Provide clear contact information for any queries or concerns the participant might have before or after the interview.