Use of Classroom Materials and FERPA
(for example, you are teaching a class and want to use grades/essays to evaluate pedagogy)
Page 1: Participant Consent (subjects over 18 years of age)
For subjects under 18, the language and vocabulary and method of delivery of assent will depend on
the age of the subjects. A 17 year-old without developmental delay can be provided with the same
informationwhereas a subject that is 6 may need modified information delivered by spoken word to
obtain assent.
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Participant Consent:
Research Consent Information:
[Enter an abbreviated title for research project]
You are invited to participate in a research project being conducted by ______and ______from Miami University. The purpose of this research is to examine_____brief description______. Participation in this research is restricted to persons 18 years of age or older.
Your participation is minimal and should take not more of your time than reading this document. Your participation is voluntary, you may decline without risk of it effecting your grades Only the [edit this research team your instructor] will have access to grades and class materials when liked to your identity. Results of the research will be presented publicly only as aggregate summaries. Your consent is required to meet research ethics obligations as well as FERPA* requirements.
If you have any questions about this research or you feel you need more information to determine whether you would like to volunteer, you can contact me at______. If you have questions or concerns about the rights of research subjects, you may contact our reviewing body: Research Ethics and Integrity Office at Miami University at (513) 529-3600 or . You may also contact the [principal or department chair] if you have concerns about this project.
Please keep a copy of this information for future reference.
Signature block dependent on the nature of the data
Participant Name:______
Participant Signature: Date:______
Contact Information (email) if you would like a summary of the results
______
* The Family Education Rights and Privacy Act (FERPA) is a Federal law that protects the privacy of student education records, both financial and academic. For the student’s protection, FERPA limits release of student record information without the student’s explicit written consent; By signing this form you are consenting to the release of information as described in the research description above. Once identifiers have been removed from the data, it will be impossible to extract your individual data from the research data set if you withdraw from the research project.
Note: the text above can be edited to be appropriate as a parental consent form and as an assent script or form for minors.