Consent Form
Informed Consent

We are conducting a research study to understand the educational experiences of immigrant students. The primary goal of the study is to be able to inform schools, teachers, parents, and policy makers so that financial, educational and political resources can be better used to assist immigrant students.

Participation in this study involves completing a questionnaire that will take approximately 35 minutes to complete. We will ask you about your educational history, the types of classes you are taking, any extra curricular activities you might be involved in, as well as some questions about your family’s background such as your parents’ level of education and their current occupation.

We understand you might feel uneasy about answering personal questions. It is our responsibility to protect your privacy and your identity. As a result, WE WILL NOT collect your address, phone number, e-mail address, name of your school, address of your school. We do assure you that if you choose to participate in the study, your identity and all information shared will be kept confidential. Only the researchers involved in this study will have access to the information you provide. To ensure confidentiality, WE WILL NOT use your real name or any other personal information you give us in any future publications. Instead, you will be assigned a pseudonym. For example, if your name is Pedro we might change it to Miguel or Angel. All school names and any other affiliations that you provide during the interview will also be given pseudonyms. For example, if you attend or attended Belmont High School we would change it to “Downtown High School.” The results of this study will be reported only in aggregate form.

Participation in this study is completely voluntary. If at any point during the interview or survey you do not feel comfortable participating, you are free to decline to participate, to end participation at any time for any reason, or to refuse to answer any individual question without penalty to you. You will be paid $10 as payment for your participation in the online survey.

If you have any questions about this study, you may contact the principal investigator, Dr. William Perez, by e-mail or phone at: William.Perez@cgu.edu, 323-610-2074 (cell) or 909-607-3784 (office). He can also answer any questions concerning your rights as a research participant or concerns about the conduct of this study.

Agreement to Participate:
I have read the above information, have had the opportunity to have any questions about this study answered, and agree to participate in this study. My first name and last name initial indicates that I have read and understood all of the above. The extra copy of this form is for you to keep.
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1. Please provide your first name and first letter of your last name only (example: WILLIAM P).

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2. What state do you live in?

PLEASE NOTE:

BEFORE YOU BEGIN THE SURVEY PLEASE MAKE SURE YOU WILL HAVE AT LEAST 30 MINUTES TO FILL OUT THE ENTIRE SURVEY. IT WILL TAKE YOU APPROXIMATELY 30 MINUTES TO FINISH. IF YOU WILL NOT HAVE 30 MINUTES TO FINISH PLEASE RETURN TO FILL OUT THE SURVEY WHEN YOU WILL HAVE 30 MINUTES TO SPEND FILLING OUT THE SURVEY. THANK YOU!!