Registration Form

The form below will not automatically make applicants' part of the user-group to be used in the PhD research project. This is merely an opportunity for applicants to register their willingness to be a member of a user-group who will:

1.	Provide information regarding their on-line information retrieval strategies;
2.	Participate in at least 2 x TAM surveys and 2 x Information Retrieval surveys; and
3.	Provide feedback regarding changes in their information retrieval behaviour over the course of the research.

Before you register your interest in being part of the user-group for this project research, please ensure that:

1.	You have read the Terms and Conditions (PDF) document;
2.	You understand the Statement of Disclosure and Informed Consent;

Please answer the following questions and click on the "Submit" button.

NOTE:

Fields indicated with a

must be answered.

1. Informed Consent

Please activate the radio buttons in this section to indicate you have read the terms and conditions, and are providing Informed Consent as part of your User-Group participation in the following project:

The Impact of user Perceptions of Information Quality on
World-wide Web Information Retrieval Strategies

	I have read the Terms and Conditions documentation
	I agree to take part in the research, with the knowledge that I can withdraw at any time.
	I agree that the data gathered from the research may be published, provided I am not personally identified.

Date of Application

Year:

Month:

Day:

2. Confidential Information:

Salutation

Surname

Firstname

3. Survey Data Durability:

e-mail

Highest completed University education level

Indicate this university qualification

e.g. Bachelor of Science, or PhD in Information Systems

institution you obtained your qualification from

Please 
                    indicate (check the box) which of the  

                    following roles describe your role at your  

                    university, and then write what % of your time  

                    is spent in that role .

                    (you may select more than one)

	`Student`	`% of time`
	`Lecturer`	`% of time`
	`Researcher`	`% of time`
	`Other`	`% of time`

	`(if "other" please describe)`
	`FYI: A PhD student's main activity may be "research", but their role is that of a Student. I have made the distinction mainly because there may be academics employed as "researchers" (eg; research fellow) who are not students.... or there may be students who work as researchers or lecturers, or lecturers who are doing some studies`

institution you are currently chiefly involved

*write N/A if not currently enroled/working with University

4. Personal/Professional Information:

Please indicate if English is your first language Yes No* (*if "no" please write your first language below)

Gender Male Female

Age Group 18 - 23 24 - 29 30 - 35

36 - 45 46 - 55 56+

Select which profession 
                    best describes 

                    your current career path

	Accounting		Information Technology
	Banking & Finance		Legal
	Communications		Management
	Construction		Psychology
	Engineering & Mining		Sales & Marketing
	Government		Schools & Colleges
	Health Care		Science & Technology
	Hospitality & Tourism		Social Work
	Human Resources		Support Staff
	Industrial Trade		Tertiary Education
	Information Systems		Other

	if 'Other' please specify: