Sample Information Release Form
Written by Carter McNamara, MBA, PhD, Authenticity Consulting, LLC. Copyright 1997-2008.Description
Whenever an evaluator, or researcher, is focusing and reporting on personal information about a research subject, he or she should obtain permission from the subject to do so. The following form can be used as a sample. The final version of the form depends on the nature of the evaluation or research.Sample Form
I voluntarily agree to participate in the evaluation of the ABC program. I understand that this evaluation is being conducted by Carter McNamara, the Program Director, to improve the ABC program and is also the basis of his doctoral dissertation.I understand that the evaluation methods which may involve me are:
1. the Program Director's recorded observations of my circle and its process and/or
2. my completion of evaluation questionnaire(s) and/or
3. my participation in a 30-60 minute interview.
I grant permission for the interview to be tape recorded and transcribed, and to be used only by Carter McNamara for analysis of interview data. I grant permission for the evaluation data generated from the above methods to be published in an evaluation report to the funder, The McKnight Foundation, and in the dissertation and future publication(s).
I understand that any identifiable
information in regard to my name and/or agency name may be listed
only in the above-mentioned evaluation report to the funder,
that is, this information will not be listed in the dissertation
or any future publication(s).
_______________________________________
Research Participant
_______________________________________
Date
For the Category of Evaluations (Many Kinds):
Related Library Topics
Recommended Books
General Information (Applying to Many Types Evaluation)
The following books are recommended because of their highly practical nature and often because they include a wide range of information about this Library topic. To get more information about each book, just hover your cursor over the image of the book. A "bubble" of information will be displayed. You can click on the title of the book in that bubble to get more information, too.
Field
Guide to Nonprofit Program Design, Marketing and Evaluation
- by Carter McNamara, published by Authenticity Consulting, LLC. There are few books, if any, that explain how to carefully plan, organize, develop and evaluate a nonprofit program. Also, too many books completely separate the highly integrated activities of planning, marketing and evaluating programs. This book integrates all three into a comprehensive, straightforward approach that anyone can follow in order to provide high-quality programs with strong appeal to funders. Includes many online forms that can be downloaded. Many materials in this Library topic are adapted from this book.
Also see
For evaluating employees, Supervision -- Recommended Books
For evaluating nonprofit programs, Program Management -- Recommended Books
