ࡱ> 463 bjbj *ddN 1b b 22222FFF8~ F#`yyy.#0#0#0#0#0#0#,-&(\#2yyyyy\# 22q#   yF22.# y.#  [!"@\¹LV"##<#n"`) )0" 2"Lyyy\#\# yyy#)yyyyyyyyyb :   ɫ Consent to Participate in Research [Project Descriptor or Project Title] This is a [senior thesis/research/class project] study conducted by [name]. I am studying [description]. Your child will be asked to [describe important parts of procedure]. Your participation will require [approximately ? minutes]. Your child will earn [list incentive, if any] for participating. [If there are any risks involved in participating in the study, describe here.] The data collected in this research project will be kept confidential. Your childs name will not be stored with the data, and this consent form will be stored separately from your childs data. Reports of this study will not include individual data in a form by which your child could be identified. Data from this study will be stored using [describe storage procedures here]. Any identifiable information (e.g., your childs name, contact information, recordings, etc.) will be destroyed by [date]. [Note: this paragraph may take a number of different forms, depending on the study.] If successful, this study may contribute to our understanding of [topic]. [If there are any direct benefits to the participant, other than the incentive, describe those here.] Your childs participation in this study is entirely voluntary. Your child may refuse to answer individual questions or to engage in individual activities. Your child may also discontinue all participation in this study at any time [without losing the incentive (include if applicable)]. You will not be provided information as to your childs performance on any of the study tasks. [Indicate whether teachers, school staff, etc. will or will not have access to their childs data. If appropriate, provide limits to confidentiality (i.e., danger to self, danger to others, child abuse) and how such reports will be made to the proper authorities. For example: Your childs responses will be kept completely confidential with one rare but important exception: if any child reports child abuse, I will be required to notify the appropriate authorities.] I will be glad to answer any questions about the procedures of this study. Answers to questions on topics that might influence the outcome of the study may be deferred until the end of the session, when I will explain the purpose of the study in more detail [include if applicable]. I can be contacted at [address]. Concerns about any aspect of this study may be referred to Professor [name], thesis advisor, [email], 503- [***-***], or to the Chair of the ɫ Institutional Review Board, Professor [name, email, phone]. I voluntarily consent for my child to participate in this study. I will be given a copy of this consent form. ______________________________ ______________________ Signature of Parent/Legal Guardian Date _____________________________ Name of Child     Parental Consent Template 10.29.13  6 !"NOQRTUWXZt|~h !h<hc_jhc_UhJ:&CJaJhJ:&hJ:&CJaJh<CJaJhJ:&h !CJaJhJ:&h<6CJaJhJ:&h<CJaJ0VW , - 9:yzGEƀ] ]`]gd<]$]a$ $ ]a$zPQ!"@NPQSTVWYZ}~gd<]gd<] ]`(/ =!"#$% 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH D`DNormalCJ_HmHnHsH tH uH@H Heading 1$@&5B*OJQJphT@T Heading 2$5$7$8$9D@&H$5OJPJQJJ@J Heading 3$$0@&]0a$5PJ>@> Heading 5$$@&a$5DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List N>@NTitle$5$7$8$9DH$a$5>*OJPJQJ0U`0 Hyperlink>*B*. @.Index 1PJHB@"H Body Text$ & Fa$ CJ OJQJPS2PBody Text Indent 3 & F`4B4Header  !LC@RLBody Text Indent ^OJQJ@V`a@ FollowedHyperlink>*B* PR@rPBody Text Indent 2]`< @< ~70Footer  !sHtH>o>~70 Footer CharCJmHnHuH@H  !0 Balloon TextCJOJQJ^JaJZoZ !0Balloon Text CharCJOJQJ^JaJmHnHuPK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1g'}ʅ$I1Ê9cY<;*v7'aE\h>=,*8;*4?±ԉoAߤ>82*<")QHxK |]Zz)ӁMSm@\&>!7;ɱʋ3װ1OC5VD Xa?p S4[NS28;Y[꫙,T1|n;+/ʕj\\,E:! t4.T̡ e1 }; [z^pl@ok0e g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV/FQⷶO&ecx\QLW@H!+{[|{!KAi `cm2iU|Y+ ި [[vxrNE3pmR =Y04,!&0+WC܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV . `עv,O.%вKasSƭvMz`3{9+e@eՔLy7W_XtlPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! ѐ'( theme/theme/_rels/themeManager.xml.relsPK]#  0003 z 8@0(  B S  ?N P Q S T V W Y Z ~ N P Q S T V W Y Z | ~      [j`6oH xJoZL*88^8`o(()88^8`o(. hh^h`OJQJo(hh^h`o(.hh^h`o(. hh^h`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo( [j` x  @h h^h`OJQJo(                     v<J:&hGuW2n\c_Jfhodp;ns !N P @D{ @UnknownUser G*Ax Times New Roman5Symbol3 *Cx Arial3Times9Palatino9CapitalsC  PLucida Grande? *Cx Courier New;WingdingsA$BCambria Math hGg.'   r4I I UK#QHP $P'2! xx ,7Generic Reed College Consent to Participate in Researchusertestuseraccount0          Oh+'0( @L p |  '8Generic ɫ Consent to Participate in Researchuser Normal.dotmtestuseraccount9Microsoft Macintosh Word@@/ qU@c-@(  ՜.+,D՜.+,Hx  ('I  8Generic ɫ Consent to Participate in Research TitleP :B_PID_LINKBASE'A  !"$%&'()*,-./0125Root Entry F2¹71Table)WordDocument*SummaryInformation(#DocumentSummaryInformation8+CompObj` F Microsoft Word 97-2004 DocumentNB6WWord.Document.8