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Informed Consent Form for Research Involving Human Subjects
You are being invited to participate in a research study, which the Cal Poly Pomona Institutional Review Board (IRB) has reviewed and approved for conduct by the investigators named here. This form is designed to provide you--as a human subject / participant--with information about this study. The investigator or his/her representative will describe this study to you and answer any of your questions. You are entitled to an Experimental Research Subject’s Bill of Rights and a copy of this form. If you have any questions about your rights as a subject or participant, complaints about the informed consent process of this research study, or experience an adverse event (something goes wrong), please contact the Research Compliance Office within Cal Poly Pomona’s Office of Research at (909) 869-4215. More information is available at the IRB website: www.cpp.edu/~research/irb/index.shtml.

Project Title: Measuring High-Speed Internet Access and Digital Literacy Skills in San Rafael, California

Protocol Number: IRB-21-45

Principal Investigator:  Daniel Soto / dasoto@cpp.edu / (415) 347-5478

This study assesses the accessibility of high-speed Internet and digital skills of individuals who live in San Rafael. A qualitative and quantitative survey with both short-answer questions and multiple-choice questions will be shared with San Rafael residents. Additionally, the Principal Investigator will conduct one-to-one interviews with San Rafael residents whom do not have access to high-speed Internet. We do not anticipate you experiencing any discomfort or other negative feelings when responding to items in this study.

Your participation in this study is completely voluntary.  Should you decide to discontinue participation, you may do so without penalty.  You may also skip any item you do not wish to complete.  Your participation in this study will help inform scholars, educational experts, and other students about the factors that influence access to high-speed Internet and computer literacy.  We are not asking you to place your name anywhere on the survey materials, nor will we collect any personally identifiable information, so your participation is anonymous.  None of your answers can be directly traced back to you.  

Should you have any further questions, please feel free to contact the study’s Principal Investigator, Daniel Soto, a student in the Political Science Department.  His phone number is (415) 347-5478 and his e-mail address is dasoto@cpp.edu.
I hereby give my consent to participate in the research study entitled “Measuring High-Speed Internet Access and Digital Literacy Skills in San Rafael, California”. I have read the above information and am aware of the potential risks and complications.  I fully understand that I may withdraw from this research project at any time or choose not to answer any specific item or items without penalty.  I also understand that I am free to ask questions about techniques or procedures that will be undertaken.  I am aware that there is no compensation for my participation.  Finally, I understand that information obtained about me during the course of the study will be kept anonymous and cannot be traced back to me. *
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