Consent Forms—Templates and Samples

Template and Example for Informed Consent when human subjects are anonymous.

Exhibit A - Template for Anonymous Survey

Exhibit B - Example Consent for Anonymous Survey

Exhibit C - Example Cover Letter for Anonymous Survey

Master Template and Example for Informed Consent - this format can be used for most research at Michigan Tech.

Exhibit D - Informed Consent Template for Research Involving Greater Than Minimal Risk OR in which Subjects are NOT Anonymous

Exhibit E - Example of Informed Consent Document for Research Involving Greater than Minimal Risk OR in which Subjects are NOT Anonymous

Template and Examples for Informed Consent when human subjects are minors.

Exhibit F - Template for Parental Permission Letter

Exhibit G - Example Parental Permission Letter

Exhibit H - Template for Child Assent Form

Exhibit I - Example of Child Assent Form

Exhibit J - Ethnography Study Example (completed Social Science Consent Document)

      Thank you Social Science Department for allowing us to use this example. 

SAMPLE - Consent Form for Use of Tissue in Research