Turin's CIE - International University College of Turin
Turin's CIE - International University College of Turin
Turin's CIE - International University College of Turin
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APPENDIX 4: THE CONSENT FORM<br />
CONSENT FROM<br />
I, ________________________________________________, do hereby declare that I understand that:<br />
1. Through this interview/questionnaire, where I will be asked about my experiences concerning<br />
the detention centre and/or detainee life in general, I am taking part in a research study on the<br />
conditions <strong>of</strong> detention in <strong>Turin</strong>’s <strong>CIE</strong> and the law and policy pertaining to attendant issues<br />
concerning the <strong>CIE</strong>.<br />
2. This study will collect information from a broad cross-section <strong>of</strong> individuals including but not<br />
limited to, present and former (January 2011 – June 2012) detainees, their families, government<br />
<strong>of</strong>ficials, <strong>CIE</strong> administrators, lawyers, <strong>CIE</strong> staff, non-governmental organisations and persons<br />
with some knowledge <strong>of</strong> the inner workings <strong>of</strong> the <strong>CIE</strong>.<br />
3. The information collected from all <strong>of</strong> these interviews/questionnaires, including my own, will be<br />
used to prepare reports which may be made public and whose findings may be used for further<br />
research in allied fields.<br />
4. I understand that my responses will be treated as highly confidential and that my participation<br />
will be anonymous- i.e., my name will not be published anywhere in the report and any specific<br />
identifying information will be likewise deleted from any public report.<br />
5. I also understand that, with my express consent, my response may be recorded and retained as<br />
part <strong>of</strong> an electronic archive for academic purposes at the <strong>International</strong> <strong>University</strong> <strong>College</strong>, <strong>Turin</strong>.<br />
These uses may include research and advocacy in the area <strong>of</strong> migration law and studies.<br />
6. I freely and fully give the <strong>International</strong> <strong>University</strong> <strong>College</strong>, <strong>Turin</strong> and any partner institutions full<br />
rights over the use <strong>of</strong> this information for academic, policy, research and advisory purposes but<br />
retain full moral rights over the information I have disclosed herein.<br />
7. I may choose not to answer any one or more <strong>of</strong> the questions I am asked and I may withdraw<br />
from the study at any time.<br />
I agree to take part in this research study.<br />
Signature: ___________________________<br />
Address (If applicable): ___________________________<br />
___________________________<br />
___________________________<br />
Date: ___________________________<br />
Name <strong>of</strong> person obtaining consent: ___________________<br />
Reference no.: ___________<br />
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