ÐÏࡱá>þÿ FHþÿÿÿEÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥ÁQ ø¿×bjbj¹Ÿ¹Ÿ 4.Ûõ’eÛõ’eŠLÿÿÿÿÿÿ·´ ´ ùùùùùÿÿÿÿ   8E4y  $B•¥»»»ï Š#Œ#Œ#Œ#Œ#Œ#Œ#$M&¶)ް#ùïï°#ùù»»4Å#+++Fù»ù»Š#+Š#++¶ ̶!»ÿÿÿÿw™³ØÚÿÿÿÿ]R‚!v#Û#0 $œ!‘)¯j‘)4¶!‘)ù¶!À+°#°# $ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ‘)´ ¿: »Æ¹û¶Ì¾ç Consent to Participate in Research Identification of Investigators & Purpose of Study You are being asked to participate in a research study conducted by (Names of Investigators) from »Æ¹û¶Ì¾ç as part of my (faculty research, senior thesis, master’s thesis, classroom project, other as applicable). The purpose of this study is to (briefly state research objectives in language that is understandable to the participant). Research Procedures Should you decide to participate in this research study, you will be asked to sign this consent form once all your questions have been answered to your satisfaction. This study consists of a (survey, interview, other research procedures if applicable) that will be administered to individual participants in (provide site where study will be conducted). You will be asked to provide answers to a series of questions related to (provide sample topics/questions/procedures to give participants an understanding of what they will be asked to do). (If you will audio/video tape participants, please state so here.) Time Required Participation in this study will require ____ minutes/hours of your time. (If the time involved in the study spans over multiple sessions, please be sure to describe each session’s required time and try to give an overall estimate for the total time expected for participation.) Risks The investigator does not perceive more than minimal risks from your involvement in this study. (OR: phrase if there are Risks Involved) The investigator perceives the following are possible risks arising from your involvement with this study: … (Please describe what you will do to help minimize the risks for your participants.) Benefits Potential benefits from participation in this study include ... (If there are no direct benefits to the participant, please state this also. However, please DO state what the benefits of the research as a whole are.) Confidentiality (The level of confidentiality you provide will vary depending on your study. The investigator is responsible for clarifying how much privacy a participant will retain, and whether their participation is confidential and/or anonymous.) The results of this research will be presented at (classroom, conference, etc.). The results of this project will be coded in such a way that the respondent’s identity will not be attached to the final form of this study. The researcher retains the right to use and publish non-identifiable data. While individual responses are confidential, aggregate data will be presented representing averages or generalizations about the responses as a whole. All data will be stored in a secure location accessible only to the researcher. Upon completion of the study, all information that matches up individual respondents with their answers (including audio/video tapes, if applicable) will be destroyed. (If the data will not be destroyed, please state what “will” happen to the data upon completion of the study.) Participation & Withdrawal Your participation is entirely voluntary. You are free to choose not to participate. Should you choose to participate, you can withdraw at any time without consequences of any kind. You may also refuse to answer any individual question without consequences. Questions about the Study If you have questions or concerns during the time of your participation in this study, or after its completion or you would like to receive a copy of the final aggregate results of this study, please contact: Researcher’s Name Advisor’s Name Department Department Mville Email Address Mville Email Address Questions about Your Rights as a Research Subject The Institutional Review Board (IRB) at »Æ¹û¶Ì¾ç has approved the recruitment of participants for this study. If you have any questions or concerns, please contact the IRB at irb@mville.edu. Giving of Consent I have read this consent form and I understand what is being requested of me as a participant in this study. I freely consent to participate. I have been given satisfactory answers to my questions. The investigator provided me with a copy of this form. I certify that I am at least 18 years of age.  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