Name of OU (e.g. Department of Applied Science, Hong Kong Institute of Vocational Education (Chai Wan))
<Title of Research Project>
Student Assent Form
Dear Students,
We are a team of researchers from the <Name of Department, <Name of OU, e.g. The Hong Kong Institute of Vocational Education (Chai Wan) and are now conducting a study titled “<Project Title>”. We hope to spend some time with you to let you know more about details of this project.
We have obtained written consent from your parent/guardian earlier to let you join this project. However, your decision is also very important to us. If you agree to join this project, we will conduct a focus group interview, or baseline assessment session for you. In this session, you will fill in a set of questionnaires, play some games and perform some simple thinking exercises. After that, you will be invited to take part in a twelve-week mindfulness training program. This training program will have in-class activities such as games, simple body movement (e.g. breathing exercises, raising hands, walking, or standing on one foot etc) and applied daily exercises. The sessions will be run weekly on school campus. Each session will last for about an hour and will be videotaped. By the end of the training program, you will be invited to participate in another assessment session, which is identical to the former one in content. If you have any further question, please raise it now. Thank you for your support.
If you agree to take part in this project, please put a tick in the following box and sign your name besides it.
¨ I agree to participate in this project. Signature:______
OR
If you do not agree to take part in this project, please put a tick in the following box and sign your name besides it.
¨ I do not agree to participate in this project. Signature:______
Student Name:______Class: ______Date:______