Parent Permission Form Clemson University
Clemson University Center for the Recruitment and Retention of Diverse Educators Exploring Teacher Recruitment and Retention in South Carolina
KEY INFORMATION ABOUT THE RESEARCH STUDY
Voluntary Consent: Faiza M. Jamil, Ph.D. is inviting your child to volunteer for a research study. Dr. Jamil is an assistant professor at Clemson University conducting the study with other Clemson University researchers, Luke J. Rapa, Ph.D., Roy Jones, Ed.D., and Reginald Wilkerson, Ed.D.
You may tell us at any time that you do not want your child to be in the study. Your child will not be punished in any way if he/she does not take part in the study or stop taking part in the study. Your child’s grades will not be affected by any decision you make about this study.
We will also ask your child if he/she wants to take part in this study. Your child may refuse to take part or quit being in the study at any time.
Alternative to Participation: Participation is voluntary and the only alternative is to not participate.
Study Purpose: The purpose of this aspect of our research is to better understand how children think about equality and fairness in society, their perceptions of school, and how their thinking is influenced by classroom expectations and conversations. We also want to know how children’s thinking in these areas influences their ideas on potential future careers for themselves.
Activities and Procedures: Your child’s part in this study will be to complete a survey that will include questions about their thinking on societal equality and fairness, their feelings of how open their classroom is to discussing such complex topics, their teacher’s expectations of students in the class, and their ideas on possible future careers.
Participation Time: It will take your child about 20 minutes to complete each survey. We will ask your child to complete one survey each year for the next five years.
Risks and Discomforts: We do not know of any risks or discomforts to your child in this research study.
Possible Benefits: We do not know of any way your child would benefit directly from taking part in this study. However, this research may help us to improve professional development for teachers which could improve classroom instruction.
The research team includes individuals who are mandatory reporters. Your family’s personal information may be disclosed if required by law. This means that there may be rare situations that require us to release personal information about your family, e.g., in case a judge requires such release in a lawsuit or if we are aware of any harm to participants (including reporting
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behaviors consistent with child abuse or neglect). In accordance with S.C. Code §63-7-310, we are required to report child abuse or neglect.
If your child completes the survey, his or her name will be entered into a raffle drawing for a $50 Walmart gift card. Your child will be entered into the raffle each year.
PROTECTION OF PRIVACY AND CONFIDENTIALITY
The results of this study may be published in scientific journals, professional publications, or educational presentations.
We will not share any identifiable information collected from your child in particular. Identifiable information collected during the study will be removed and the de-identified information could be used for future research studies or distributed to another investigator for future research studies without additional informed consent from the participants or legally authorized representative.
All surveys will be de-identified by removing your child’s name and attaching a participant identification number to it instead. The document linking your child’s name and identification number will be stored in a secure location that is separate from the data files. All data will be stored in locked cabinets and password protected computers, that can only be accessed by the research team.
If you have any questions or concerns about your child’s rights in this research study, please contact the Clemson University Office of Research Compliance (ORC) at 864-656-0636 or email@example.com. If you are outside of the Upstate South Carolina area, please use the ORC’s toll-free number, 866-297-3071. The Clemson IRB will not be able to answer some study- specific questions. However, you may contact the Clemson IRB if the research staff cannot be reached or if you wish to speak with someone other than the research staff.
If you have any study related questions or if any problems arise, please contact Faiza M. Jamil, Ph.D. at Clemson University at 864-656-5126 or firstname.lastname@example.org.
By allowing your child to participate in the study, you indicate that you have read the information written above, been allowed to ask any questions, and you are voluntarily choosing for your child to take part in this research. You do not give up any legal rights by having your child take part in this research study.
A copy of this form will be given to you.
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