ࡱ> (*'q` ,bjbjqPqP .::0, , , 8d p  1 3 3 3 3 3 3 $hHW Q Q Q W  l  Q p  1 Q 1  p(, d   0 L% dL L ( Z @ * 4^ W W d Q Q Q Q d, ,   (Directions for Implied Consent for Surveys: Delete these before turning in your finished document. The following paragraph should go at the top of the survey you give/send out. It can be in a smaller font than the survey. Please adapt it to your own project, in terms of your department or college, what the research is and why these people have been asked to participate. If survey questions are sensitive in nature, i.e about drug/alcohol abuse or risky sexual behavior, the 2nd sentence in the 2nd paragraph should be changed to: There is a risk that you might feel some discomfort in answering these questions, but you may stop participating at any time or you may refuse to answer any question.) Implied Consent to Participate in Research Data collected from this confidential survey will be used for completion of a masters degree in _____________ at California State University 鶹AV. The information gathered will be used for research on _______________________. The survey questions will be about __________________________________. You have been invited to participate because __________________________ (insert inclusion criteria here). You must be 18 years of age or older to participate. There are no risks or benefits to you in participating in this survey. You may choose to participate or not. You may answer only the questions you feel comfortable answering, and you may stop at any time. If you do not wish to participate, you may simply return the blank survey, with no penalty to yourself. If you do participate, completion and return of the survey indicates your consent to the above conditions. Please do not put your name on this form. The survey should take approximately ___ minutes to complete. Any questions or concerns should be directed to the principal investigator, _______________, at _______@________, the research advisor, Professor ________________, at _______@ _______, or the CSUEB Office of Research and Sponsored Programs at irb@csueastbay.edu or 510-885-4212.     Research Title Researchers Name 2h  k u JKr'*+,õάάΥάάΛ huCJhtjhtUh+OJQJ^J h+5\h< h+5hh+5CJ^JaJh+5CJ^JaJh+h+huB*phhu6B*H*]phhu6B*]ph hu6]hu) * pqL$a$$a$gd+ ?^`?gd++()*+, ,1h/ =!"#$% H@H Normal CJOJQJ_HaJmH sH tH >@> Heading 1$@& 5>*\DAD Default Paragraph FontViV  Table Normal :V 44 la (k(No List 4@4 Header  !4 @4 Footer  !XQ@X + Body Text 3$5$7$8$9DH$a$5OJQJaJ,*pqL()*-0000000000000000000000I00JI00I00KI00I00LKI00I00I00@0@0@0I00I00d /////2, , + @.PA.lB.xC.]D., E.,>kkv|-u{-=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType9*urn:schemas-microsoft-com:office:smarttagsplace @p*-LO*-3(*-*-+t<u*L-@8>,@@UnknownGz Times New Roman5Symbol3& z Arial3Times"1hvf|w:t&#00!4d2AHP?+2 mrichJohn DoeOh+'0p   , 8 DPX`h mrich Normal.dot John Doe14Microsoft Office Word@@2.@Fhh;@0՜.+,0 hp|    Title  !"#$%&)Root Entry FP+1TableLWordDocument.SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q