Keystone Kitchens Program Informed Permissions Form
The Purpose
The Keystone Kitchens Program is a project of the Pennsylvania Technology Assistance Program (PennTAP) and Penn State Extension, focused on determining the feasibility of setting up one or more shared-kitchen incubators in Pennsylvania. The purpose of the study is to explore the level of interest that farmers/producers and food entrepreneurs like you have in using such a facility, and the types of services and information that you would like to receive from a shared kitchen incubator.
Benefits
You might have a better understanding of the reasons for using a shared kitchen/incubator by participating in the study. The questions may help you reflect on how you might benefit from becoming a tenant in, or using the services of, a shared kitchen. The questions may also help you reflect on your business experience and goals for the future.
Survey Procedures
All participants are asked to complete a survey that asks specific questions about their current or proposed enterprises and the services they will need to create commercial food products. The survey should take ten to fifteen minutes to complete.
There are no risks in participating in this study. Your participation is completely voluntary. You may skip any question or you may change your mind and withdraw at any time. Your name and contact information will not be sold or distributed. Only summary data (all responses of the group surveyed) will be used to gauge interest in shared kitchens. You may choose to remain anonymous by simply not entering your name and street address on the survey; however, we do request that you provide your city, county, and ZIP code information so that we can accurately determine regional needs. All participants must be more than 18 years of age.
Participants with questions about the rights of research participants may contact:
Principle Investigator
Dr. Larry Grunden
PennTAP
Penn State Harrisburg
116 Educational Activities Building
777 West Harrisburg Pike
Middletown PA 17057
Phone: 717-948-6523
E-mail: lpg11@psu.edu
Co-Investigator
Winifred McGee
Penn State Cooperative Extension in Lebanon County
Phone: 717-270-4391
E-mail: wwm1@psu.edu
Office for Research Protection
Phone: 814-865-1775
Permission to Participate
Completing and submitting the PA Keystone Kitchens Incubator Feasibility Study User Survey is considered your permission to participate in this study. Please keep this permission form for your records.
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