Millikin University Irb Consent Form Instructions (Page 5 of 7) in pdf

Millikin University Irb Consent Form Instructions Page 5

ARE THERE ANY BENEFITS TO ME?

We don't expect any direct benefits to you from participation in this study.

WILL I BE COMPENSATED FOR MY PARTICIPATION?

You will receive 1 extra credit point in your Communication Arts or Journalism class for

participating in this study. You may also receive a small amount of money in the money

allocation interaction.

HOW WILL MY CONFIDENTIALITY BE PROTECTED?

While there will probably be publications as a result of this study, your name will not be

used. Only group characteristics will be published.

If you participate in this study, we would like to be able to quote you directly without using

your name. If you agree to allow us to quote you in publications, please initial the

statement at the bottom of this form.

WHOM SHOULD I CONTACT IF I HAVE QUESTIONS?

You may ask any questions about the research at any time. If you have questions about

the research after you leave today you should contact the Principal Investigator

XXXXXXXX (phone: (XXX) XXX-XXXX or (email: x@wisc.edu)

If you are not satisfied with response of research team, have more questions, or want to

talk with someone about your rights as a research participant, you should contact the

Education Research and Social & Behavioral Science IRB Office at xxx-xxxx.

Your participation is completely voluntary. If you decide not to participate or to withdraw

from the study it will have no effect on your grade in this class.

Your signature indicates that you have read this consent form, had an opportunity to ask

any questions about your participation in this research and voluntarily consent to

participate. You will receive a copy of this form for your records.

Name of Participant (please print):______________________________

_______________________________________

______________

Signature

Date

I give my permission to be quoted directly in publications without using

_________

my name.

IRB Consent Form Guidelines

2/13/2015

Millikin University Irb Consent Form Instructions Page 5