University of Warwick Consent Form

 

Researcher name:  Debra Bassett

Supervisor name: Professor Steve Fuller & Professor Simon Williams

Project title: Who Wants to Live Forever? Living, Dying and Grieving in Our Digital Society.

Date:

Researcher email: d.j.bassett@warwick.ac.uk

I confirm that I have read and understood the Information Sheet for the above study and have had the opportunity to ask questions.

I agree to take part in the above study.

I understand that my participation is entirely voluntary and that I am free to withdraw at any time without giving any reason and without being penalised or disadvantaged in any way.

I understand that my information will be held and processed for the purposes of publication in a PhD thesis, papers for publication in academic journals and presentations at conferences.

 

 

Signatures:

Study participant

Print name…………………………………. Signature……………………………… Date……………

 

 

Person obtaining consent

Print name…………………………………. Signature……………………………… Date……………