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Information Sheet for Participation in Research Study [Title of the Study] Principal Investigator: [Insert the PI's name and department. If the PI is a student, indicate undergraduate student or graduate student] Institution: DePaul University, USA Faculty Advisor: Dr. Jennifer Zimmerman, Ph.D., Psychology Department i I am conducting a research study as part of a class assignment because I am trying to learn more about [insert a simple description of the study's purpose, aims and goals). I am asking you to be in the research because [insert a short explanation of what qualifies them to be in the research, ke. inclusion/exclusion criteria). If you agree to be in this study, you will be asked to [insert specific information, for example. fill out a survey. The survey, questionnaire) will include questions about [provide a simple summary of the topic areas that will be covered. If you will collect demographic information, specifically indicate, "1 will also collect some personal information about you such as and then include examples of the types of demographic data you plan on collecting ]. [If applicable include information such as whether the research activity is completed online or in-person] [If applicable, add. "If there is a question you do not want to answer, you may skip it. "J This study will take about [insert an estimate of the time it will take to complete the activity in minutes) of your time. Your information will be anonymous. Your participation is voluntary, which means you can choose not to participate. There will be no negative consequences if you decide not to participate or change your mind later after you begin the study. You can withdraw your participation at any time prior to submitting your survey. If you change your mind later while answering the survey, you may simply exit the survey. Once you submit your responses, we will be unable to remove your data later from the study because all data is anonymous and we will not know which data belongs to you. Your decision whether or not to be in the research will not affect your grades/employment at your school job. You must be age 18 or older to be in this study. This study is not approved for the enrollment of people under the age of 18. If you have questions, concerns, or complaints about this study or you want to get additional information or provide input about this research, please contact [insert your name and email). You may keep for print] this information for your records Version [insert the date of creation or revision] Page 1 of 1