Parkhurst and Tudor Manor Civic Associations
ORAL OR INTERNET BASED INFORMED CONSENT
Title of Research Study: Belmont Park Community Coalition
Principal Investigator: Tammie S. Williams, MSW, Community Organizer
THIS RESEARCH STUDY WILL TAKE YOU 20-30 MINUTES TO COMPLETE.
In 2006, the Elmont community expressed a strong desire to improve, and enhance the suburban condition and quality of life. Late 2012, New York Empire State Development (ESD) issued a Request for Proposal (RFP) to generate ideas for the under-utilized space at the Belmont Park. The Parkhurst and Tudor Manor Civic Associations are conducting a study to learn how the surrounding Belmont communities feel after listening to presentations given by potential developers.
You are being asked to participate in this activity because you are a member of the Belmont Park Community. Parkhurst and Tudor Manor Civics would like to understand what impact the Belmont Park Redevelopment is having on you. This survey is done over the Internet using a drop down list and check box format. You will be asked to agree to permit the Parkhurst and Tudor Civic Associations, to obtain, use and disclose the anonymous information provided as described below.
Conditions and Stipulations
1. I understand that all information is anonymous and no will know my individual answers or whether or not I participated. I will not be personally identified in any reports. I agree to complete the Parkhurst and Tudor Manor Civic Associations online survey for research purposes and that the combined data derived from this anonymous survey may be made available for a letter to Empire State Development Corp.
2. I understand the online survey involves questions about the Belmont Park Redevelopment and what I experienced while participating in the civic meetings and what impact (positive or negative) the meetings had on me. Except for a few questions about you (age, race, ethnicity, town/city, single parent, or married, work full or part-time) all questions will address evaluating issues concerning the Belmont Park Redevelopment.
3. I understand that my participation in this research survey is totally voluntary, and that declining to participate will involve no penalty or loss of benefits. Choosing not to participate will not affect my participation in the Parkhurst and Tudor Manor Civics. If I choose, I may withdraw my participation at any time. I also understand that if I choose to participate, that I may decline to answer any question that I am not comfortable answering.
4. I understand that I can contact the Communication Director, Tammie Williams at (516) 945-5230 or by email: email@example.com if I have any questions about the survey and my rights as a participant. I am aware that my consent will not directly benefit me, but will provide data for the Parkhurst and Tudor Manor Civics to improve community engagement and advocacy.
Your participation in this research evaluation is voluntary. If you have any questions, you can contact Tammie S. Williams at (516) 945-5230 or by email: firstname.lastname@example.org. If you have any questions about your rights as a research participant or if you would like to talk to someone other than the researchers, you can contact Tudor Manor Civic President, Joyce Stowe, at (516) 592-3829.
Thank you for your participation,