Certification of Confidentiality

Appendix R

Appendix R

Certification of Confidentiality

University of North Carolina at Greensboro

RESEARCH CONFIDENTIALITY AGREEMENT

FOR RESEARCH INVOLVING HUMAN PARTICIPANTS

I have agreed to assist the research project entitled The Effectiveness of a Program to Accelerate Vocabulary Development in Kindergarten. (IRB # )

I agree not to discuss or disclose any of the content or personal information contained within the data, tapes, transcriptions or other research records with anyone other than the members of the research team with signed confidentiality agreements. I agree to maintain confidentiality at all times and to abide by the UNCG Policy and Procedure for Ethics in Research and the UNCG Policy on the Protection of Human Subjects in Research.

Date:      /     /      ______________________________

Signature

________________________________

Witness

To be completed by all members of the research team with access to personal data on human research participants.