Millikin University Irb Consent Form Instructions Page 7

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Sample 3
Cornell University
Sample Child Assent Form
We are doing a study to learn about people who tell the truth and people who lie. We are asking
you to help because we don’t know very much about whether kids your age expect people to lie or
tell the truth.
If you agree to be in our study, we are going to ask you some questions about types of people.
We want to know if you think they usually tell the truth or if they usually lie. For example, we will
ask you if a teacher, parent, or other people usually lie or usually tell the truth.
You can ask questions about this study at any time. If you decide at any time not to finish, you
can ask us to stop.
The questions we will ask are only about what you think. There are no right or wrong answers
because this is not a test.
If you sign this paper, it means that you have read this and that you want to be in the study. If
you don’t want to be in the study, don’t sign this paper. Being in the study is up to you, and no
one will be upset if you don’t sign this paper or if you change your mind later.
Your signature: ________________________________________________ Date _____________
Your printed name: _____________________________________________ Date _____________
Signature of person obtaining consent: ______________________________ Date _____________
Printed name of person obtaining consent: ___________________________ Date _____________
IRB Consent Form Guidelines
2/13/2015

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