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Research Consent Form
Dear _parent/participant_:
In the first paragraph: introduce yourself and if applicable, your advisor, and that you are a
_______ at Miami University. Proceed according to your study/research project.
You are invited to participate in a study of people’s self-esteem and self-confidence. I will ask
you to complete a few short questionnaires about how you think about yourself. Your answers
will be kept confidential, as you will hand them in as a group, in sealed envelopes, so that I cannot
tell who said what. Then we will do two tasks in which I will ask you to make some predictions
and to estimate how confident you are in your answers. In the records, your name will not be
associated with your responses. This session should take approximately 45 minutes, for which
you will receive 1 hour of research participation credit. Your participation is voluntary and you
may withdraw from the session at any time or decline to answer any questions that make you
uncomfortable. If you leave the session before its end, you will receive ___research credit. You
will not be asked to do anything that exposes you to risks beyond those of everyday life. The
benefit of the study, scientifically, is it will help us understand more about how people think
about themselves and their abilities.
If you have further questions about the study, please contact (researcher) at (phone number, e-
mail). If you have questions about your rights as a research participant, please call the Office of
Advancement of Research and Scholarship at 529-3600 or email: [email protected].
Thank you for your participation. We are grateful for your help and hope that this will be an
interesting session for you. You may keep this portion of the page.
Cut at the line, keep the top section and return the bottom section.
I agree to participate in the study of self-esteem and self-confidence. I understand my
participation is voluntary and that my name will not be associated with my responses. By signing
below, I acknowledge that I am 18 years or older.
Participant’s signature ___________________________________ Date: __________