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RISC Request Form

First Name *

Last Name *

Affiliation *

Address *

Email *

Phone

Reason for Request *

Additional Info/ Message

By signing and submitting this application, researchers agree to abide by the terms and conditions outlined below. 1) Researchers will ensure that actors’ privacy and the confidentiality of records and other confidential data is maintained. Personal information includes information that enables an individual to be identified, for example their name, age, or other defining characteristics, excluding recordings of actors' voice and/or face. 2) The RISC database is a form of intellectual property. By approving the use of videos for research purposes, the Pell Lab does not transfer any rights of ownership of the data, but grants the researcher a licence to use the data only for the specified purpose and period of the research. Researchers will not distribute or reproduce the RISC database as this consent does not constitute a transfer of intellectual property rights. Video, photographic or audio recordings are to be used only for research purposes and should be securely stored. *

I have read and understand this agreement, and I accept and agree to the terms and conditions.

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RISC Request Form

Department and University Information

School of Communication Sciences and Disorders (SCSD)