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American Association for Public Opinion Research

Student Survey of Political Issues

Written Consent via Electronic Display in Web Survey – Student Survey of Political Issues

 

SURVEY INSTRUCTIONS AND CONSENT INFORMATION

Project Title: International Relations

INVITATION TO PARTICIPATE: You are being asked to participate in a research study because you are an undergraduate student enrolled in a political science course.

PURPOSE: The purpose of this survey is to assess the preferences and opinions of the class. The information will be used to shape class discussion and for research on the nature of public opinion. While the survey will not be graded in any way, please take the time to thoughtfully answer the questions.

PROCEDURES: The questionnaire should take you no more than 15 minutes to complete. Personal information (i.e., name and student identification number) is recorded in a separate location and is used to ensure students complete either the survey or the alternative assignment. When you finish the survey and see the "Thank You" screen, you will receive credit for the assignment.

RISKS: This questionnaire poses no risk to you.

BENEFITS: While this study will not benefit you directly, the resulting research should benefit society indirectly by furthering our understanding of international conflict.

ALTERNATIVES: Students declining to participate should contact the instructor for an alternative assignment.

COMPENSATION: There is no financial compensation for participating.

CONFIDENTIALITY: I understand that every attempt will be made by the investigators to maintain all information collected in this study strictly confidential, except as may be required by law. Authorized representatives of the University of XXXXXXXXX Institutional Review Board (IRB), a committee charged with protecting the rights and welfare of research subjects, may be provided access to medical or research records that identify you by name. If any publication results from this research, you will not be identified by name.

DISCLAIMER/WITHDRAWAL: I agree that my participation in this study is completely voluntary and that I may withdraw at any time without prejudicing my standing within the University or my class.

SUBJECT RIGHTS: I understand that if I wish further information regarding my rights as a research subject, I may contact [CONTACT INFORMATION] by telephoning XXX-XXX-XXXX. I also understand that if I have any questions pertaining to my participation in this research study, I may contact the principle investigator by calling the telephone number listed at the top of the page. Dr. XXXXX can also be reached by e-mail at XXXXX@XXX.edu or traditional mail at the Department of XXXXXXX, University of XXXXXXXX, Address, City, State, Zip.

CONCLUSION: I have read and understand the consent form. I agree to participate in this research study. (Participants may print this screen for their records.)

A. I agree to participate; press START to begin.

B. I decline to participate; Close Browser to leave.