This is an example. Be sure to change all ID numbers, titles, topics and details to match your study!
Roanoke College IRB Study # 11PS344
Informed Consent Form
Personality and Opinions
You are invited to participate in a research study designed to examine interactions between various personality types and opinions. Data gathered from individual participants will be averaged across a large number of participants, and the results will be published in a psychology journal and/or presented at a psychology conference.
Procedures:
In the first part of this study, participants will be completing a packet of three surveys. This part of the study will take approximately 10 minutes. During the second part of the study, participants will read a paragraph about a particular topic. Then the students will complete a final questionnaire. This will also take approximately 10 minutes to complete.
Risks, Benefits, & Compensation:
The risks involved with participation in this study are no more than you would experience in regular daily activities. Participants will receive credit towards the departmental research requirement or extra credit toward their grade in a psychology course, depending on the rules established by their teacher. For those who plan to pursue degrees in research-based fields, participation in this study provides direct and potentially useful experience with the conduct of psychological research.
Data Collection and Storage:
All information regarding participants’ identities will be stored in a locked office, and no one other than the investigators will have access to it, unless required by law. Consent forms will be kept separately; therefore, there will be no way of connecting participants’ identities with their questionnaire responses.
Contact information:
For other questions about the study, you should contact the Principal Investigator, Dr. Chris Buchholz at the Department of Psychology, Roanoke College, Salem, VA 24153 or by phone (343-4904) or E-Mail (). If you feel you have not been treated according to the descriptions in this form, or your rights as a participant in research have not been honored during the course of this project, you may contact the office for the Institutional Review Board, Roanoke College, Admin 204A, 221 College Lane, Salem, Virginia 24153, 540-375-5249, by e-mail at .
Participation:
Your participation in this study is voluntary; you may refuse to participate without penalty. If you decide to participate, you may withdraw from the study at any time without penalty and without loss of benefits to which you are otherwise entitled. If you withdraw from the study before data collection is completed your data will be returned to you or destroyed.
Consent Statement:
I have read and understand the study described above. I am 18 years of age or older and I freely consent to participate. I understand that I am free to withdraw myself and/or any data I provide from the study at any time during the experimental session without penalty. Participants who choose to withdraw from the experiment at any point will receive full credit.
Signature of Participant: ______Date: ______