Request for Research Participants

Request for Research Participants

In order to help Info-Cult to better evaluate the requests for participants in a study, we ask that the principal researcher first complete this form and send us all the relevant additional documentation (ex. ethics committee approval, informed consent form, surveys that will be submitted to participants, etc.). If you have any issues uploading documents in this form below, please write to us at info@infosecte.org.
Name of principal researcher

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name of supervisor (if applicable)

First NameLast Name
Names and roles of any additional researchers involved in study (if applicable)
Affiliated institution(s)*
Title of study*
Brief description of study and main objectives*
What type of participation are you requesting (ex. interview, survey, etc.)?*
How many participants do you aim to recruit?*
To what extent do you think this research project could contribute to a better understanding of cultic phenomena? How will this be assessed?*
What impacts do you think the proposed study could have on its participants? How will these effects be taken into account?*
YesIn ProgressNo
YesIn ProgressNo
Please provide any relevant documents here.

Ex: IRB or EC approval, informed consent form, surveys, etc.
Cancelof
Conformément à la Loi 25 et à la Politique de confidentialité d'Info-Secte, votre consentement est nécessaire pour que nous puissions traiter vos renseignements personnels de manière transparente, sécuritaire et respectueuse.

Je consens à ce qu’Info-Secte utilise les renseignements fournis dans ce formulaire pour évaluer ma demande et, si elle est acceptée, pour en faire la promotion auprès de ses membres, sans transmettre mes informations à des tiers autres que les membres intéressés.*
Je comprends que les personnes intéressées à participer me contacteront directement. Info-Secte ne recueillera ni ne communiquera leurs renseignements personnels sans leur consentement exprès.*
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