ࡱ> /1._ |bjbj *h1bh1b|VVVVVjjjj~ jkteee$VeeeeeVV%e VVenT_o ;0k!yv!!V@eeeeeeeeeekeeee!eeeeeeeeeB : Sample Letter to an Older School Child, Requesting Assent (Current Date) Dear Student: [INTRODUCTION] My name is Ann Doe. I am a senior at 91ɬ. [PURPOSE] I am asking you to participate in a project that examines parental and peer influences on teenagers. Sometimes parents find it hard to understand what you and your friends go through during your teens. My project looks at some of the concerns that you may face now or might face in the future. [POTENTIAL RISKS AND DISCOMFORTS AND/OR BENEFITS] Your participation in this study will not affect your grades in any way. There are no known risks involved in this study and [COMPENSATION FOR PARTICIPATION] you will receive nothing for your participation. [PROCEDURES] I am asking you to complete a short questionnaire that will take about 15 minutes. Your parents or legal guardians have already given permission for you to participate in this study, but you do not have to participate if you choose. [RIGHT TO REFUSE OR WITHDRAW] You may quit this study at any time by simply writing on the questionnaire Stop or I do not wish to participate. [CONFIDENTIALITY] To protect your confidentiality, the questionnaire will not be shared with anyone unless required by law. These questionnaires will be kept by my teacher Dr. Sally Smith and me. Neither Cities in Schools nor your parents will know if you chose to participate in this project or the answers you provide on the questionnaire. [OFFER TO ANSWER QUESTIONS] If you have any question about this study, please talk with Mr.Tim Brown, the Director of Cities in Schools at Hughes Middle School or your homebase teacher. Sincerely yours, Ann Doe Agreement I agree to participate in this research project and I have received a copy of this form. Students Name (Please Print) Date Students Signature I have explained to the above named individual the nature and purpose, benefits and possible risks associated with participation in this research. I have answered all questions that have been raised and I have provided the participant with a copy of this form. Student Researcher Date :;=KM[]l h y z|ssssseehrCJOJQJ^JaJ#hSMB*CJOJQJ^JaJph)hSMhSMB*CJOJQJ^JaJph.t)h1_ hSMB*CJOJQJ^JaJph.t#hrB*CJOJQJ^JaJph hSMhrhSMhrCJOJQJ^JhrB*CJOJQJ^Jph)hr5B*CJOJQJ\^JaJphhr':;<=MN] |/9NU_|gdSM$a$`-/9LNSU_az|Ӳ hr6CJOJQJ]^JaJhr>*CJOJQJ^JaJ#hrB*CJOJQJ^JaJphhr)hr6B*CJOJQJ]^JaJph&hr>*B*CJOJQJ^JaJph (/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH <`< NormalCJ_HmH sH tH X@X  Heading 1$@&#5OJQJ\^Jeh r DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List \$\ Envelope Address!@ &+D/^@ F^@F  Normal (Web)dd[$\$aJ6U 6  Hyperlink >*B*ph>%"> Envelope ReturnCJFV 1F FollowedHyperlink >*B* phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< || | 8@0(  B S  ?~~]l hy{{~ ^`OJQJo( 8^8`OJQJo(^`OJQJ^Jo(o  p^ `OJQJo(  @ ^ `OJQJo( x^x`OJQJo(H^H`OJQJ^Jo(o ^`OJQJo( ^`OJQJo(  1_  $'=)2O5/zrSM<K#L!|~@|@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial?= *Cx Courier New;WingdingsA$BCambria Math"h#KjG#KjGh*h*!r0kk3HP $PK#2!xx 0Sample Letter to an Older Child-Davidson CollegeDavidson, Davidson College, sample letter to older school child, consent form, human subject IRB, hsirb, research, participants, request permission, procedures, policiesDavidson CollegeWinecoff, Beverly Oh+'0\   $ 0<DLT4Sample Letter to an Older Child-91ɬ91ɬ91ɬ, 91ɬ, sample letter to older school child, consent form, human subject IRB, hsirb, research, participants, request permission, procedures, policies Normal.dotmWinecoff, Beverly2Microsoft Office Word@@R_@R_h՜.+,D՜.+,Px  191ɬ*k 1Sample Letter to an Older Child-91ɬ TitleP :B_PID_LINKBASEA  !"#$%'()*+,-0Root Entry F0k_21Table !WordDocument*SummaryInformation(DocumentSummaryInformation8&CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q