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ConsentFormforProfessionals .pdf


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Outcomes of Sanctioned Encampments for the Homeless 
 
CONSENT FORM 
The purpose of this research is to evaluate the outcomes of sanctioned 
encampments for the homeless. Responses should be from staff members or 
service providers that work with sanctioned encampments and its residents. You 
were selected as a participant in this study because you were identified as a 
professional working with encampment residents. The benefits of participating in 
this project include contributing to an expanded perspective of the determinants 
of a success encampment for the homeless and contributing to new data that can 
be reviewed by homeless services providers.   
 
If you decide to participate in this research, you will be asked to complete the 19 
question survey. Any information that is obtained in connection with this study 
that can reveal your identity will remain confidential. No identifying words or 
names will be used on any documents other than the survey. 
 
Participating in this survey is entirely up to you. If you volunteer to participate in 
this study, you may request to have your responses withdrawn at any time. You 
may also refuse to answer any questions you do not want to answer. The 
investigator may withdraw your responses from this research if circumstances 
arise which warrant doing so. You are not waiving any legal claims, rights or 
remedies because of your participation in this research study. 
 
If you want to know more about this research project or have questions or 
concerns, please call me Grant Helm, at (831) 601­2052 or by email at 
ghelm@csumb.edu. 
 
Sincerely, 
 
Grant Helm 
MSW Student 
CSU Monterey Bay 
 


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