Dissertation Cover Letter Questionnaire Form

Institutional Review Board

Sample Form: Consent Cover Letter for Survey Research



NOTE:  Fill in blanks “italicized language” (add/delete) as appropriate to your research.  Remember to delete these instructions and any other non-applicable language.

Dear Participant,

I invite you to participate in a research study entitled (specify): _______________________. I am currently enrolled in the (specify program) at Notre Dame de Namur University in Belmont, CA, and am in the process of writing my (i.e., Master’s Thesis). The purpose of the research is to determine: ________________________________________________.

The enclosed questionnaire has been designed to collect information on:  _________________________________________________.

Your participation in this research project is completely voluntary. You may decline altogether, or leave blank any questions you don’t wish to answer. There are no known risks to participation beyond those encountered in everyday life. Your responses will remain confidential and anonymous. Data from this research will be kept under lock and key and reported only as a collective combined total. No one other than the researchers will know your individual answers to this questionnaire.

If you agree to participate in this project, please answer the questions on the questionnaire as best you can. It should take approximately (specify time)to complete. Please return the questionnaire as soon as possible in the enclosed business reply envelope.(OR give instructions as to what to do with the completed survey)

If you have any questions about this project, feel free to contact INVESTIGATOR name & title at CONTACT INFORMATION. Information on the rights of human subjects in research is available through the NDNU’s Institutional Review Board at Notre Dame de Namur University 1500 Ralston Avenue, Belmont, CA, 94002; website: www.ndnu.edu/academics/research; (insert name and contact number of the current IRB Chair).

Thank you for your assistance in this important endeavor.

Sincerely yours,



С каждым завыванием сирены слова Хейла эхом отдавались в ее мозгу: Я сожалею о Дэвиде Беккере. Сьюзан казалось, что она сходит с ума. Она уже готова была выскочить из комнаты, когда Стратмор наконец повернул рубильник и вырубил электропитание.

В одно мгновение в шифровалке установилась полная тишина. Сирены захлебнулись, мониторы Третьего узла погасли.

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