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Informed Consent Form

The document is an informed consent form for a research study. It describes the aim of the study, activities participants will do, any risks or benefits, and confirms voluntary participation. By signing, participants agree they understand the nature of the study and their role, and that certain facts may be initially withheld but will be revealed after.

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198 views2 pages

Informed Consent Form

The document is an informed consent form for a research study. It describes the aim of the study, activities participants will do, any risks or benefits, and confirms voluntary participation. By signing, participants agree they understand the nature of the study and their role, and that certain facts may be initially withheld but will be revealed after.

Uploaded by

api-244457674
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Experiment Informed Consent Form

Study Title:

Experimenter: provide the full name of person responsible for running the study

Description of Experiment:
o Give the aim of the study, if possible;
o Provide a sentence or two about the general activities participants will do;
o Mention any risks and discomforts the participant might experience;
o Mention any benefits for the individual participant and the larger community.

In order to participate in this research study, it is necessary that you give your informed consent. By signing
this informed consent statement you are indicating that you understand the nature of the research study and
your role in that research and that you agree to participate in the research. Please consider the following
points before signing:
• I understand that I am voluntarily participating in biological research;
• I understand that my identity will not be linked with my data, and that all information I provide will
remain confidential;
• I understand that I will be provided with an explanation of the research in which I participated.
• I understand that certain facts about the study might be withheld from me, and the researcher might
not, initially, tell me the true or full purpose of the study. However, the complete facts and true purpose
of the study will be revealed to me at the completion of the study session.
• I understand that participation in research is not required, is voluntary, and that I may refuse to
participate at any time further without penalty.

By signing this form I am stating that I am 16 years of age or older, and that I understand the above information
and consent to participate in this study being conducted at the [insert School]. If I am not 16 years of age or
older I must have a parent signature in order to participate.

Participant Signature:_____________________________ Date: ________________

Parent Signature:________________________________ Date: ________________


Only if the participant is under 16

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