SAMPLES

Informed Consent Form
Dear Research Participant,
You are being asked to participate in a research project I am completing as part of my
Sociology of the Family class at Nebraska Wesleyan Uniersity! "his project e#plores
personal e#periences and attitudes about family life! Your signature belo$ gies me and
the instructor permission to use the information gathered during the interie$ for
research purposes!
Please be assured that eery effort $ill be made to ensure your confidentiality! Your
identifying information $ill not be in the $ritten paper% instead a pseudonym for you $ill
be used $hen $riting and presenting the paper in class! In addition, the Informed &onsent
'orm $ill be separated from the completed paper and retained by the instructor for one
year in a secure location! (fter that period of time the forms and any recordings $ill be
destroyed!
While there are no kno$n risks in participating in such research, it is possible to
e#perience some psychological distress if the topic of discussion coers an area that is
sensitie to the respondent! In the eent that such feelings occur, the respondent is
referred to the &ommunity )ental *ealth &enter of +ancaster &ounty, at ,-.!,,/!01,-
for a listing of mental health counselors in +ancaster &ounty! 2#pense for such serices
$ould be the responsibility of the research participant!
While the e#pected risks are minimal, there are also no monetary benefits! *o$eer,
some benefit may accrue to the research participant by haing the opportunity to discuss
their personal attitudes $ith the student3researcher!
Your participation in this student research project is fully optional and oluntary, but is
greatly appreciated! You are free to $ithdra$ from this study at any time and your
$ithdra$al $ill in no $ay affect your relationship $ith the researcher, the adisor, or
Nebraska Wesleyan Uniersity!
If you hae any 4uestions, comments, or concerns follo$ing this interie$, please feel
free to contact either me or my instructor at the telephone numbers belo$! "hank you
again!
5igned6
7Research Participant8
5tudent6 Instructor6 Dr! Daid Ia4uinta
"elephone 9 ,-.!,:;!.,.:
5tudent<s 2mail dli=nebr$esleyan!edu
PARENTAL INFORMED CONSENT FORM
Intergenerational Views on the Famil
You are inited to permit your child to participate in this research study! "he follo$ing
information is proided in order to help you make an informed decision $hether or not to allo$
your child to participate! If you hae any 4uestions please do not hesitate to ask!
Your child is eligible to participate in this study because your child of your relationship
and because you hae already agreed to participate in the study yourself!
"he purpose of this study is to inestigate the perceptions and e#periences of parents and
children regarding their family life!
"his study $ill take a ma#imum of thirty to si#ty minutes of your child<s time! Your
child $ill be asked arious 4uestions about their e#periences in the family and their perceptions
of the family<s role in society!
"here are no kno$n risks associated $ith this research!
(ny information obtained during this research $hich could identify your child $ill be
kept strictly confidential!
Your child<s rights as a research subject hae been e#plained to you! If you hae any
additional 4uestions concerning your child<s rights, you may contact Dr! Daid Ia4uinta at
Nebraska Wesleyan Uniersity at 7,-.8,:;3.,.:!
You are free to decide not to enroll your child in this study or to $ithdra$ your child at
any time $ithout adersely affecting their or your relationship $ith the inestigator or Nebraska
Wesleyan Uniersity! Your decision $ill not result in any loss of benefits to $hich your child is
other$ise entitled!
DOC!MENTATION OF INFORMED CONSENT
"O! ARE VOL!NTARIL" MA#IN$ A DECISION %&ET&ER OR NOT TO ALLO%
"O!R C&ILD TO PARTICIPATE IN T&IS RESEARC& ST!D"' "O!R SI$NAT!RE
CERTIFIES T&AT "O! &AVE DECIDED TO ALLO% "O!R C&ILD TO
PARTICIPATE &AVIN$ READ AND !NDERSTOOD T&E INFORMATION
PRESENTED' "O! %ILL (E $IVEN A COP" OF T&IS CONSENT FORM TO #EEP'
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SI$NAT!RE OF PARENT DATE
PRIMAR" INVESTI$ATOR* St+dent,s name and
info here
CO!RSE INSTR!CTOR* Dr' Da-id Ia.+inta/ 012'034'2023
dli5ne6rweslean'ed+
A77endi8 E
"O!T& ASSENT FORM
Intergenerational Views on the Famil
We are initing you to participate in this study because your parent has agreed to also be
part of a study of attitudes and perceptions releant to your family!
"his research $ill take a ma#imum of thirty to si#ty minutes of your time! You $ill be
asked seeral 4uestions concerning your e#periences and opinions about family life and
its relationship to the larger society!
Your responses $ill be strictly confidential! "here $ill be no records kept of your
interie$ that $ould make it possible for anyone to identify you!
I am also asking your parent7s8 for their permission for you to do this study! Please talk
this oer $ith them before you decide $hether or not to participate!
If you hae any 4uestions at any time, please ask the researcher!
If you check >yes? it means that you hae decided to participate and hae read eerything
that is on this form! You and your parents $ill be gien a copy of this form to keep!
@@@@@@@ Yes, I $ould like to participate in the study!
@@@@@@@ No, I do not $ant to participate in this study!
@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@@@@@@@@@@
SI$NAT!RE OF S!(9ECT DATE
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SI$NAT!RE OF INVESTI$ATOR DATE
If o+ ha-e an .+estions a6o+t the st+d: o+ ma ;onta;t me or m S+7er-ising
Professor at the n+m6ers 6elow'
PRIMAR" INVESTI$ATOR* St+dent,s name and
info here
CO!RSE INSTR!CTOR* Dr' Da-id Ia.+inta/ 012'034'2023
dli5ne6rweslean'ed+