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Get Human Informed Consent Form 2018

Human Informed Consent Form Instructions to the Student Researcher s An informed consent/assent/permission form should be developed in consultation with the Adult Sponsor Designated Supervisor or Qualified Scientist. This form is used to provide information to the research participant or parent/guardian and to document written informed consent minor assent and/or parental permission. When written documentation is required the researcher keeps the original signed form. Students may use this sample form or may copy ALL elements of it into a new document. If you decide not to participate there will not be any negative consequences. Please be aware that if you decide to participate you may stop participating at any time and you may decide not to answer any specific question. By signing this form I am attesting that I have read and understand the information above and I freely give my consent/assent to participate or permission for my child to participate. Adult Informed Consent or Minor Assent Date Reviewed Signed Research Participant Printed Name Signature Parental/Guardian Permission if applicable International Rules Guidelines for Science and Engineering Fairs 2017 2018 student. If the form is serving to document parental permission a copy of any survey or questionnaire must be attached* Student Researcher s Title of Project I am asking for your voluntary participation in my science fair project. Please read the following information about the project. If you would like to participate please sign in the appropriate area below. Purpose of the project If you participate you will be asked to Time required for participation Potential Risks of Study Benefits How confidentiality will be maintained If you have any questions about this study feel free to contact Adult Sponsor/QS/DS Phone/email Voluntary Participation Participation in this study is completely voluntary. If you decide not to participate there will not be any negative consequences. Please be aware that if you decide to participate you may stop participating at any time and you may decide not to answer any specific question* By signing this form I am attesting that I have read and understand the information above and I freely give my consent/assent to participate or permission for my child to participate. Adult Informed Consent or Minor Assent Date Reviewed Signed Research Participant Printed Name Signature Parental/Guardian Permission if applicable International Rules Guidelines for Science and Engineering Fairs 2017 2018 student. If the form is serving to document parental permission a copy of any survey or questionnaire must be attached* Student Researcher s Title of Project I am asking for your voluntary participation in my science fair project. Please read the following information about the project. If you would like to participate please sign in the appropriate area below. Please read the following information about the project. If you would like to participate please sign in the appropriate area below. Purpose of the project If you participate you will be asked to Time required for participation Potential Risks of Study Benefits How confidentiality will be maintained If you have any questions about this study feel free to contact Adult Sponsor/QS/DS Phone/email Voluntary Participation Participation in this study is completely voluntary. .

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