Generic Consent Forms ~ IRB

Cut, copy, & or paste any or all of these examples.  "How-to" questions can be directed to Colleen Burnham, ext. 3407, cjburnha, or the student researcher's advisor.  [Return to IRB page]

Consent Form
  • You are invited to participate in a research study that involves language choice and group membership. You will receive participation credit to be applied to your Introduction to Psychology course requirement.
  • We ask that you read this form and ask any qustions you may have before agreeing to be in the study. You are free to withdraw your consent and to discontinue participation in the experiment at any time.
  • The purpose of this study is to examine how people describe others and how those descriptions relate to group membership. If you agree to participate in this study, you will be asked to complete a survey.
  • Your responses in this study will remain confidential and anonymous. The records in this study will be kept private. Your name will not be placed on any of the questionnaires you complete. In any published report, we will not include any information that would make it possible to identify a participant. Research records will be kept in a locked file; only the researchers will have access to the records.
  • Your decision whether or not to participate will not affect your current or future relations with Colby College, the Department of Psychology or the researchers. If you decide to participate, you are free to withdraw at any time without affecting those relationships, and you will still receive credit for participating. If you feel that any questions are too embarrassing or personal, you may skip those items or stop completing the questions without penalty.
  • At the conclusion of the study, any questions you have about the research will be answered.

  • The primary research conducting this study is _____________. If you have any questions later, you may contact him/her at the Department of Psychology, Colby College. You can phone _________ at: (207) 872-xxxx.

    I have read the above information and have received answers to any questions I have. I consent to participate in this study.
     

    signature of research participant                   Date

    This research study has been reviewed and approved by the Institutional Review Board for Human Subjects in Research at Colby College.  For research-related problems or questions regarding subjects' rights, the Institutional Review Board may be contacted through Robert L. McArthur, Ph.D., IRB Chair, Lovejoy 249, 207 872 3446.

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Parent Informed Consent
For the Benefit of a Minor-Age Research Participant
Fall2000
  • I understand that my child, student name, will be participating in psychological research for which s/he will be completing one or more survey packets.  Student First Name will receive one participation credit for each hour of research participation; credit will be applied to his/her Introduction to Psychology course requirement.
  • I understand that the researcher will answer any questions my child or I may have regarding the prodecures of participation.  I realize that at any time, either my child or myself are free to withdraw consent, at which point Student First Name may discontinue participation in the research with no penalty.  I also understand that I am not abdicating any legal rights that may protect my minor child.
  • Student Name's participation in this research is voluntary.
  • I have the assurance of the researchers that Student First Name's responses in this study will remain confidential and anonymous.
  • At the conclusion of the study, any questions that my child or I may have about the research will be answered and we will be told whom to contact if we have further questions.
  • I understand all of the above, and freely give my consent for my child, Student Name, to participate in research in the Department of Psychology at Colby College.

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    Parent/Guardian Signature                    Date

    [Principal Investigator or Student Advisor name and contact information]

    This research study has been reviewed and approved by the Institutional Review Board for Human Subjects in Research at Colby College.  For research-related problems or questions regarding subjects' rights, the Institutional Review Board may be contacted through Robert L. McArthur, Ph.D., IRB Chair, Lovejoy 249, 207 872 3446.

    CLICK HERE
    for changable .doc format


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