SayPro Data Ethics Compliance Form
Project Title: ___________________________________________
Researcher(s) Name(s): ___________________________________
Institution/Organization: ________________________________
Date: ______________________
1. Purpose of Data Collection
(Briefly describe the purpose and objectives of the data collection involved in the research.)
2. Data Types and Sources
- Personal Data (e.g., names, IDs)
- Sensitive Data (e.g., health, ethnicity)
- Aggregated/Anonymized Data
- Publicly Available Data
- Other: ___________________________
3. Consent and Privacy
- Informed consent will be obtained from all participants prior to data collection.
- Participants will be informed of their right to withdraw at any time without penalty.
- Data will be anonymized/pseudonymized to protect participant identity.
- Data collection methods comply with applicable privacy laws and regulations.
- No data will be shared with third parties without explicit permission.
4. Data Security Measures
- Data will be stored securely using encrypted and password-protected systems.
- Access to raw data will be restricted to authorized personnel only.
- Procedures are in place for secure data transmission and backup.
- Data retention and deletion policies comply with SayPro guidelines.
5. Ethical Approval
- The research protocol has been reviewed and approved by an Institutional Review Board (IRB) or Ethics Committee.
- If applicable, attach approval documentation.
6. Compliance Declaration
I, the undersigned, hereby declare that the research project described above will adhere to SayPro’s Data Ethics Guidelines and relevant legal frameworks to ensure ethical handling of all data collected or processed.
Name | Role/Position | Signature | Date |
---|---|---|---|
____________________________ | ____________________ | ____________ | ____________ |
____________________________ | ____________________ | ____________ | ____________ |
For SayPro Use Only:
Reviewed by: ____________________________
Date: ____________________________
Comments: ____________________________________________________________________
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