Lab update
Sample Consent Form for Collecting Data Online for an EXEMPT Studies ONLY
[This is a SAMPLE and you must alter the below information as appropriate for your study. Please only include the actual consent form in your application and not the bracketed material or other material meant to help you create this form.
If including this in a recruitment email, you still must include basic consent immediately prior to participation in the survey. An example is as follows:
I have read and understood the information sent via email [adjust accordingly] to me concerning participation in this study. By clicking below, I am indicating that I am 18 years of age or older, and voluntarily agree to participate in this study.]
You are being asked to participate in an online (web-based) [insert here type of participation- experiment, survey etc.] titled [insert title], led by [insert the name, credential and affiliation of the principal investigator including identity as a student investigator when appropriate].
General Information. There are some things you should know about this study. The purpose of this study is to [insert a concise statement on the scientific purpose- Use simple language.] If you choose to participate you will be asked to [insert procedure]. Participation in the study should take approximately [insert here] to complete. There are no foreseeable risks in participating in this study as [insert reason here, for example, participation includes only typical daily tasks, or participation includes only answering impersonal survey items]. There are/ are not [select one] foreseeable direct benefits to the study [insert reason].
Confidentiality [ Describe confidentiality arrangements- select one option below or revise as needed. If applicable: note confidentiality when presenting or publishing the results of the study]
We will keep the information you share confidential and will not share your personal information beyond the research team. [adjust this also to include deidentifying data and at what point it is deidentified]. or
This survey is anonymous and there is no identifying information requested in this study. [if there are write in blanks, include:] Please do not include your name or identifiable information in your responses.
Voluntary Participation
Your participation in this study is entirely voluntary. You may refuse to participate in this research. Such refusal will not have any negative consequences for you. If you begin to participate in the research, you may at any time, for any reason, discontinue your participation without any negative consequences. You may skip questions you do not want to answer at any time during this survey [if you have set the survey so it requires responses but has an option to select “prefer not to answer”, indicate this].
This research is in affiliation with Keiser University and has been certified by the Keiser University Institutional Review Board, Protocol Number [insert once assigned]. If you have any questions or concerns regarding participants’ rights please contact the IRB Chair at (954) 318-1620. You may contact the IRB Chair, principal investigator [insert name, email, phone number] or faculty advisor [insert name, email , phone number] with questions or concerns.
Consent
By clicking below you are indicating you are 18 years of age or older, have read the information above, and voluntarily agree to participate in this study.
Please print a copy of this consent for your records.
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2022