APPENDIX A

INFORMED CONSENT STATEMENT






INTRODUCTION
 
 

__________________ has been invited to participate in a research study. The purpose of the study is to explore feedback given from deaf or hard-of-hearing students attending public schools.
 
 

INFORMATION ABOUT PARTICIPANTS' INVOLVEMENT IN THE STUDY

The study will consist of a one-time 30 - 45 minute conversation style interview with the student. The interview will take place on school grounds during the school hours unless requested otherwise by the parents. Topics covered in the interview will be focused on school activities, favorite classes, etc.

The interview will be videotaped or audiotaped, depending on the students preferred mode of communication. Students communicating with sign language will be videotaped; those using oral methods will be audiotaped. When interview transcription has been completed the videotapes and audiotapes will be erased.

The students were selected because of their age and placement in the public school system.
 
 

RISKS

There are no risks for the participants involved with this interview.
 
 

BENEFITS

Benefits in this study learning how to a) facilitate student feedback, b) analyze their comments, c) and apply it to the local school systems to improve the learning environment.
 
 

CONFIDENTIALITY

The information acquired from the study will be kept confidential. Data will be stored securely and will be made available only to persons conducting the study unless participants specifically give permission in writing to do otherwise. No reference will be made in oral or written reports which could link participants to the study.
 
 

CONTACT INFORMATION

If you have questions at any time about the study or would like to discuss it further, contact, Colleen Austin, at or 974-0575. If you have questions about your rights as a participant, contact the Compliance Section of the Office of Research at (423) 974-3466.

__________Parent's initials
 
 

PARTICIPATION

Participation is this study is voluntary; you (or your son/daughter) may decline to participate without penalty. If you decide to participate, you may withdraw from the study at anytime without penalty. If you withdraw from the study before data collection is completed the data will be destroyed.
 
 

CONSENT
I have read the above information. I have received a copy of this form. I permit my son/daughter to participate in this study.
 
 

Parent's signature ______________________ Date______________________
 
 

Researcher's signature __________________ Date______________________
 
 


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