This research permission form gives a foreign student named [name] permission to interview and survey members of a specified group or institution. The form must be signed by the leader of that group, providing their name, position, and contact information. It also notes that each individual member will need to sign a separate consent form after reading the research explanation. The form is being submitted to the Chair of the Nanzan University Committee for Research Screening.

1. Research Permission Form
To:Chair of the Nanzan University Committee for Research Screening
I give my permission for___________________________________________ (nameof foreign student) to interview
and/or survey members of ____________________________________________________(groupor institution name),
as part of the ‘Fieldwork Research Methods for Japan I’ course at Nanzan University.
Eachgroup member will also agree individually to be interviewed by signing the research consent
form, after reading the research explanation.
name: ____________________________________________ position (leader, etc.):___________________________
phone no. or email: ___________________________________________________________________________________________
signature or seal: _______________________________ date: ______________________________________________
Note: If you have any questions about this class, please contactthe course instructor, Robert Croker,
on 090-3953-9639, or croker@nanzan-u.ac.jp.