201 APPENDIX G Consent FormTitle of Study: Effect of Topical Knowledge on L2 Writing PerformancePrincipal Investigator: Dr. Ling Shi, Associate Professor Department of Language and Literacy Education, Faculty of Education, UBC Phone: 604 822-4335 Email: email@example.comCo-Investigator: Ling He PhD. Candidate Program of Teaching English as a Second Language Department of Language and Literacy Education, Faculty of Education, UBC Phone: 604-2218863 Email: firstname.lastname@example.orgPurpose: The purpose of this study is to investigate the impact of content and culturalknowledge on L2 test takers’ writing performance. Specifically, it will examine therelationship between topic and cultural knowledge required by the writing prompts and thestudents’ writing performances.Procedures: If you choose to become involved in this study, you will be asked both semi-structured and open-ended questions regarding your experience of writing two writing topics.The interview will be recorded.Amount of time required: 30 minutes for the interview and 1 hour for writing each prompt.If needed, I will cross check with the participants the researchers’ report and interpretation ofthe data. Thus, the total time involved will be 2.5 hours at most.Rights: Your participation in this study is entirely voluntary, and you have the right to refuseto participate, or withdraw at any time. During the interview, you can refuse to answer any ofthe questions.
202Confidentiality: To ensure the confidentiality of the data, you and your institute will beassigned pseudonyms. These names will be used in the researcher’s notes and data analysisand in the poster.Compensation and benefits for participants: To thank you for your participation in thestudy, I will provide free tutoring or lecture to comment about your writing on two promptsyou will write and answer your question about your writing on two prompts. You will notreceive any payment as a result of your participation in this study.Contact for information about the study: If you are willing to participate in this study,contact Ling He by telephone at 604-221-8863 or by email email@example.com. Ifyou have any questions about this study, you may contact Ling He. You may also contact ourprofessor, Dr. Ling Shi by telephone (604-822-4345) or e-mail (firstname.lastname@example.org).Contact for concerns about the rights of research subjects: If you have any concernsabout you rights as participants in this study, you may contact the Research SubjectInformation Line in the UBC Office of Research Services and Administration at604-822-8598.
203 Consent FormI have read the consent form and recognize that my participation in this study is entirelyvoluntary and that I am free to withdraw at any time during the course of the study withoutconsequence. I understand that any information resulting from this study will be strictlyconfidential. I realize that I may ask for further information about this study if I wish to do soat any time.I have received a copy of this consent form for my own records. I agree to participate in thisstudy._____________________________ _____________________________Subject Signature Date_____________________________Print Name of the Subject