Sample Survey Agreement Form

Note: If this is for a research study, the WCU Informed Consent Form Creator must be used.

SURVEY AGREEMENT

Purpose: To determine plans for students who will be graduating this semester.

Confidentiality: The information you provide is confidential. Your personal identification information (e.g., name, email address) will only be available to the survey team. Your personal identification information will never be shared in reports.

Security: Data from this survey will be stored on equipment and software programs purchased by the university. Access to individual’s responses will be limited to the survey coordinator and survey team and will be stored with password protection.

Use of Results: This is not a research study, and as such, the aggregated results from this survey will only be shared within the WCU community.

Voluntary Participation: Your participation is entirely voluntary. There is no penalty for not participating in the survey or for withdrawing from the survey. Your decision to participate/not participate in the survey will not affect your relationship with the university.

Risks: There is always some level of risk when submitting information online. To minimize this risk, please clear your internet history and close your browser after submitting the survey.

Benefits: There are no direct benefits for participants, however, the results may be used by the university in a variety of ways. Some of these benefits include:

  • Sharing information with incoming students and families about potential opportunities
  • Encouraging external stakeholders to invest in additional scholarships and grants
  • Assisting students and alumni with career decisions (e.g., graduate school applications, employment opportunities)
  • Helping faculty and staff understand the impact of individual programs
  • Encouraging organizations to recruit WCU students
  • Completing accreditation activities for programs and the university

Contact: For questions about this survey, please contact (name, title, email, phone). For questions about your rights as a participant, please contact Amanda Thomas, Executive Director of Assessment and Planning, at athomas@wcupa.edu or 610-436-3434.