Informed Consent for Spiritual Life Self-Assessment
Date: October 1, 2014
Research Project Title: Spiritual Life Self-Assessment
Principal Investigator(s): Sam Jones
Supervising Faculty (if applicable): NA
Department: Office of Spiritual Development
My name is Sam Jones and I am currently a Vice President at Freed-Hardeman University (FHU) in the Department of Spiritual Development. You are being invited to participate in the research study because you are a student, faculty, or staff at Freed-Hardeman University. The research may give us knowledge that may benefit individuals or the society as a whole in the future.
Details of the research will be explained to you by the researcher and are provided below. Dr. Sam Jones, the principal investigator, will be happy to answer further questions and/or concerns that you may have. Please contact me at 731-989-6992 and/or email at email@example.com before you decide to participate in any part of the study, please take as much time as you need to discuss this study with anyone at your university, your family, or friends.
Purpose of the Study
Risks or Discomfort of Participation
I am unable to identify any risk to students, faculty, and staff. The Office of Spiritual Development will not attempt to identify the person who submitted a particular answer or information. There is always the possibility for electronic data to be compromised; however, we do not anticipate this to occur.
Benefits of Participation
The benefits of the information are: programs and activities will be planned to provide spiritual growth opportunities that address needs, weaknesses, and concerns of the various groups. It will help the Office of Spiritual Development to monitor collectively if these groups are increasing or declining spiritually.
The study will begin on October 1, 2014. The questionnaire will take approximately 10-12 min. of your time to complete. You may refuse to answer any questions or discontinue the questionnaire at any time without penalty or loss of benefits that you are otherwise entitled to.
You will not be compensated for your participation in the research study.
Your participation in the study is strictly confidential.
Your participation is entirely voluntary. If you decide to participate in the study, you are free to withdraw at any time. You may choose not to participate. In either case, you will not lose any benefits to which you are otherwise entitled. You are not giving up any of your legal rights or releasing any individual or institution from liability for negligence.
Participants who would like a copy of this research after the study is complete may contact the principal investigator within 12 months after the completion date, which is scheduled to be October 3, 2014, for a synopsis of the findings.
Please contact Dr. Sam Jones, principal investigator, at 731-989-6992 or email at firstname.lastname@example.org with any questions or concerns about this study, your rights as a participant, any research-related injury or distress, or if you wish to withdraw from participating in the study.
You may contact the Freed-Hardeman University Institutional Review Board at 731-989-6438 or email at IRB@fhu.edu for additional information about your rights as a research participant.
To participate in the survey, select the following link:
2014 Spiritual Life Self-Assessment - Students
158 East Main Street
Henderson, TN 38340
FHU / Dickson
FHU / Memphis
5565 Shelby Oaks Drive
Memphis, TN 38134
855 Highway 46 South
Dickson, TN 37055
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