EXAMPLE Informed Consent Form



Key Information

Please take time to review this information carefully. This is a research study. Your participation in this study is voluntary which means that you may choose not to participate at any time without penalty or loss of benefits to which you are otherwise entitled. You may ask questions to the researchers about the study whenever you would like. If you decide to take part in the study, you will be asked to sign this form, be sure you understand what you will do and any possible risks or benefits.

This experiment is part of an ongoing, multi-year project examining the effectiveness of different learning and study strategies. The overall purpose of this research is to investigate the effects of different instructional techniques on learning. Your participation will take no more than 90 minutes. Additional explanations may be more detailed in the sections below.

What is the purpose of this study?

The overall purpose of this research is to investigate the effects of different course structures. We would like to enroll up to 150 people in this experiment.

What will I do if I choose to be in this study?

Your participation will involve learning biology content and taking memory tests.

How long will I be in this study?

The session will last up to 90min, and you will receive 3 experiment credits for participating.

What are the possible risks or discomforts?

Minimal: The risks are not greater than those ordinarily encountered in daily life. However, breach of confidentiality is a possible risk in this type of research. Safeguards to minimize this risk are discussed in the Confidentiality section below.

Are there any potential benefits?

There are no direct benefits to participants. You will have the opportunity to learn about experimental psychology tasks and the specific phenomenon under study.

Will information about me and my participation be kept confidential?

Data and contact information will be collected via a secure website and stored on a secure server. Any data collected during this experiment will not be directly associated with any of your contact information, and your responses will not be associated with any identifying information at any point. The anonymous data will be retained indefinitely in digital files accessible only to members of the research team. The project's research records may be reviewed by the National Science Foundation, by the Institute of Education Sciences within the U.S. Department of Education, and by departments at Purdue University responsible for regulatory and research oversight.

What are my rights if I take part in this study?

You do not have to participate in this research project. If you agree to participate you can withdraw your participation at any time without penalty.

Who can I contact if I have questions about the study?

If you have any questions about this research project, you can contact the Cognition and Learning Laboratory (Email: learninglab@purdue.edu). If you have concerns about the treatment of research participants, you can contact the Institutional Review Board at Purdue University, 155 S. Grant St., West Lafayette, IN 47907. The phone number for the Board is (765) 494-5942. The email address is irb@purdue.edu. To report anonymously via Purdue’s Hotline, see www.purdue.edu/hotline.

Documentation of Informed Consent

I have had the opportunity to read this consent form. I have been given adequate contact information to ask questions about the research project. I am prepared to participate in the research project described above.

Please print a copy of this consent document for your records.

Please click the box below to indicate if you understand this document and consent to participate in this research study: