✅ SayPro Interview/Survey Consent Form

📋 Project Title:

[Insert SayPro Project Name or Code (e.g., SCRR-13)]

🧑‍💼 Research Lead / Interviewer:

[Name and Affiliation]

🗓️ Date of Interview/Survey:

[Insert Date]

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📝SayPro Introduction

You are being invited to participate in a [survey / interview / focus group] as part of a research or evaluation project conducted by SayPro. The purpose of this study is to collect information on [briefly explain: e.g., the effectiveness of youth mentorship programs, feedback on job readiness workshops, etc.].

Your participation is voluntary, and all responses will be kept confidential unless you give explicit permission to share them.

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🔐SayPro Confidentiality

• Your name or identifying information will not be included in any reports without your permission.
• Responses will be used solely for research, reporting, and improvement of SayPro programs.
• Any quotes or summaries will be anonymized unless permission is granted.

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✔️ SayPro Participation Details

• The [interview/survey] will take approximately [X] minutes.
• You may skip any questions or stop at any time.
• There is no penalty or loss of benefits for choosing not to participate.

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🤝 SayPro Consent Statement

Please read and check the boxes below to confirm your understanding and agreement:

☐ I understand the purpose of this interview/survey.
☐ I voluntarily agree to participate.
☐ I understand I can withdraw at any time without penalty.
☐ I give permission for my responses to be used in SayPro research and reports.
☐ (Optional) I give permission to be quoted anonymously.
☐ (Optional) I give permission for my name/organization to be attributed to my responses.

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🖊️ SayPro Participant Details

Participant Name	______________________________________
Signature	______________________________________
Date Signed	______________________________________
Organization (if any)	______________________________________

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🧑‍💼SayPro Researcher Details

Researcher Name	______________________________________
Signature	______________________________________
Date Signed	______________________________________

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📎 Note:

Please keep a copy of this form for your records. You may contact the SayPro Research Office at [insert email/contact info] if you have questions about your rights or the project.