Sample Letter of Permission to Agency

SAMPLE LETTER OF PERMISSION TO AGENCY DIRECTORS

DOMINICAN UNIVERSITY of CALIFORNIA

Mr. Stanhope

Manager, Vanna White Health & Fitness Center

123 Playa Del Sol, Suite C

Marina Del Ray, CA 90111

Dear Mr. Stanhope: 

This letter confirms that you have been provided with a brief description of my senior thesis research project, which concerns factors related to successful weight loss, and that you give your consent for me to visit your facility to interview a random sample of your clients. This project is an important part of my undergraduate requirements as a Nursing major, and is being supervised by Dr. Fred Montaque, Professor of Nursing at Dominican University of California.

As we discussed in our phone conversation, I will make every effort to ensure that my data collection does not interfere with your regularly scheduled classes and workshops, and that your clients are treated with the utmost discretion and sensitivity. If you have questions about the research you may contact me at the phone number or email address below. If you have further concerns you may contact my research supervisor, Dr. Montague, at 666-6666 or the Institutional Review Board for the Protection of Human Participants at Dominican University of California by calling (415) 482-3547.

After my research project has been completed in May 2004, I will be glad to send you a summary of my research results.

If my request to visit your establishment and to interview your clients meets with your approval, please sign and date this letter below and return it to me in the enclosed self-addressed, stamped envelope as soon as possible. Please feel free to contact me if you have any questions about this project.

Thank you very much for your time and cooperation.

Sincerely,

Bruce T. Rockford

43 Thesis Terrace

San Rafael, CA 94903

Email address: [INSERT: Student’s Dominican email address]

(415) 457-5533 x669

I agree with the above request