Doctoral Students Consent Forms

0990- (Dyad) DoctoralStudentAppendixC 6 B (2).doc

Research Mentoring Dyad Study

Doctoral Students Consent Forms

OMB: 0990-0357

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APPENDIX C.6.B
STUDENT CONSENT FORM

OFFICE OF RESEARCH INTEGRITY

TRAINING AND EDUCATION OF DOCTORAL STUDENTS INTERVIEW

During this interview, you will respond to a series of questions about the training and education of doctoral students. No direct benefits are expected from participation in this study other than the opportunity to discuss issues that may be of interest to you. The interview will be carefully protected so that others will not know what I say and the results will summarize key themes. Issues discussed in the interview may be discussed elsewhere as long as they are discussed in a way that does not identify participants or the institutions represented.


Please read the following statements and fill out the appropriate section.


  1. Yes, I wish to participate in this study. I understand that my responses will be carefully protected so that others will not know what I say The interview will be audio-recorded to facilitate analysis and reporting. The audio recording will be kept by Mathematica Policy Research in a secure location for the length of the project. At the end of the project, the recordings will be destroyed. Although the primary use of the recordings will be to inform the analysis for this research project, researchers may write articles based solely on the interviews. In that case, direct quotes from the recordings may be used to illustrate a point or illuminate findings, but any names or places that could be attributable to me personally will be omitted. I will be given $50 as a token of appreciation for participation in this research project.


I understand that I may choose not to answer specific questions asked during my interview by simply stating “Pass” or “I prefer not to answer.”



Student printed name



Student signature


  1. No, I do not wish to participate in this study.



Student printed name



Student signature


1


File Typeapplication/msword
File TitleAPPENDIX C
AuthorDHHS
Last Modified ByDHHS
File Modified2009-12-22
File Created2009-12-22

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