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Science Project 2018-October
Science Project 2018-October
Hello, my name is Sofia Vega, I am currently in 8th grade, and I have been researching the
incredible phenomenon that resides within you. In this specific experiment, I am studying the
correspondence of colors to symbols in color graphemic synesthetes. I will be testing the projector
Before beginning the test, PLEASE complete and sign the attached Consent Form. Rest
assured, your identity will NOT be revealed at any point in this experiment. I am simply gathering
The test to be conducted is very simple. The test is timed and is comprised of ten (10)
randomly selected letters of the alphabet (both upper case and lower case). The idea is for you to
view each letter in the table and enter the specific color you perceive. Please be as honest and
C Raspberry pink
Timing begins when you start viewing the letters and ends upon completion of the test.
Finally, please let me know if you know of any other individuals willing to participate in
my experiment. The more, the merrier! Thank you for your willingness to participate in my science
experiment.
Please sign here to verify that you If you are a minor, please have your
have read and agreed to the testing parent/guardian sign as well:
rules:
__________________________________ _________________________________
Human Informed Consent Form
Instructions to the Student Researcher(s): An informed consent/assent/permission form should be developed in
consultation with the Adult Sponsor, Designated Supervisor or Qualified Scientist.
This form is used to provide information to the research participant (or parent/guardian) and to document written informed
consent, minor assent, and/or parental permission.
• When written documentation is required, the researcher keeps the original, signed form.
• Students may use this sample form or may copy ALL elements of it into a new document.
If the form is serving to document parental permission, a copy of any survey or questionnaire must be attached.
I am asking for your voluntary participation in my science fair project. Please read the following information about the project.
If you would like to participate, please sign in the appropriate area below.
Purpose of the project: To find out the level of correspondence within those that have grapheme-color
synesthesia, compared to others.
Benefits:
People will have a better understanding of the "condition" and why it is the people percieve the colors they do.
How confidentiality will be maintained:
Location will not be revealed and will only stay in between the test subject and the researcher.
If you have any questions about this study, feel free to contact:
Christine Austin
Adult Sponsor/QS/DS: ____________________________________ caustinv@gmail.com
Phone/email: ____________________
Voluntary Participation:
Participation in this study is completely voluntary. If you decide not to participate there will not be negative consequences.
Please be aware that if you decide to participate, you may stop participating at any time and you may decide not to answer any
specific question.
By signing this form I am attesting that I have read and understand the information above and I freely give my consent/assent
to participate or permission for my child to participate.
Page 38 International Rules: Guidelines for Science and Engineering Fairs 2018 – 2019, student.societyforscience.org/intel-isef
PARTICIPANT INFORMATION
O
M
S
Z
K
B
X
C
I
U
LOWER CASE LETTERS
o
m
s
z
k
b
x
c
i
u
Questions/Comments/Concerns:
Thank you!
Please return the completed test to caustinv@gmail.com