Sample Informed Consent Form
The research in which you are about to participate will ask
you to answer questions about perceived attractiveness, health, mate selection,
and some general questions about general health-related issues and sexual
behavior. The study will also ask that you take and provide some simple body
measurements.
The procedure in the study is very simple, and participation will not
take long. First you will receive instructions and then view and respond to
items presented on a computer screen. The instructions should take about 5
minutes, and it should take less than 20 minutes to respond to the computer-presented
items. After this, you will be taken to private rooms and asked to take and
provide some simple body measurements; this should take less than 5 minutes.
[Note: This section, which identifies
the project as research, describes the nature of the study and procedures,
and informs about time commitment, may be more or less detailed, depending
on what you are studying. Sometimes you can tell participants exactly what
you are studying and exactly how they will be tested. In other cases, you
will just give participants some general information about what you are studying.
As a general principle you should provide as much relevant information as
possible, without compromising the research]
As a volunteer participant in research at DePauw University, you should
understand that the following rights and conditions apply.
Some Student
someaddress@depauw.edu phone#Faculty Name facultyemail@depauw.edu
faculty office phone
[Note: You may choose to debrief participants immediately following the experimental session, arrange a later time for a group debriefing, or arrange a time after which they may contact you. If you use failure, humiliation, or strong deception, you must provide at least a partial debriefing after the session.]
[Note: For the two items just above, the specific manner of presentation of student/faculty researcher contact information is not crucial. What is important is that you provide participants with some form of easy to use contact information that contains your name(s), phone numbers, and email addresses.]
As a volunteer for this study, I, the undersigned, have read and understood
the conditions and rights listed above.
NAME (PRINT):_____________________________________
DATE:_____________________________________________
SIGNATURE:________________________________________
If you are receiving extra credit in a course for participating in this study,
please put the course number and the professor's name below.
Course: ______________________________________
Professor's Name: ________________________________________