ࡱ> \^[U bjbjnn 0aaJJ8&BBBBB)++++++$0JOOBBdFBB))BpaScRz00j00`OO0JB :  Consent Form Template Purpose: Briefly state the purpose of the research. Participant Selection: Briefly state how participants will be selected. Explanation of Procedures: Explain in plain language what the participant will be doing while participating in the research. Discomfort/Risks: Be sure to address any discomfort your participants may encounter, any deception used in the experiment, and any other risksreal or perceivedthat a participant may reasonably endure. Benefits: Here you can mention any benefit to individuals or society your research may bring. Confidentiality: Be sure you understand what confidential means in relation to data, and state it in plain terms that describe confidentiality to those who are not familiar with research. Refusal/Withdrawal: Address the voluntary nature of research. EX: Participation in this study is entirely voluntary. Your decision whether or not to participate will not affect your future relations with 91Ƭ and/or these researchers. If you agree to participate in this study, you are free to withdraw from the study at any time without penalty. Contact: Fill in the information in the statement: If you have any questions about this research, you can contact the primary researcher at ____(phone #), _____(email) or ____ (physical address) You are under no obligation to participate in this study. Clicking Yes / Agree below and typing your name in the space provided, you are agreeing that you have read the information provided above and have voluntarily decided to participate. Do you agree to participate in this study? 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