CONSENT FORM
Introduction to the Study
Please take a few moments to complete the following survey. All responses are confidential and your identity will remain anonymous. The purpose of this research study is to gain a better understanding of attitudes of a segment of the White nationalist population that is present on White Revolution. Your participation in this research study is appreciated.
This study is being conducted by David Bugg of SUNY Potsdam and Dianne Dentice of Stephen F. Austin State University.
Background Information
The purpose of this study is to gain a better understanding of attitudes of the White nationalist represented on the White Revolution Internet Web site.
Procedures:
If you agree to be in this study, we would ask you to do the following things: complete a survey through a website that will take approximately 30 minutes of your time.
Risks and Benefits of being in the Study
There are no anticipated risks associated with participation in this research study.
It is anticipated that the results of this study will be published in academic journals. Only aggregated information will be used; no names or other identifying information will be used in the publications.
Confidentiality:
The records of this study will be kept private. In any sort of report we might publish, we will not include any information that will make it possible to identify a subject. Research records will be stored securely and only researchers will have access to the records.
Voluntary Nature of the Study:
Participation in this study is voluntary. Your decision whether or not to participate will not affect your current or future relations with SUNY Potsdam or Stephen F. Austin State University. If you decide to participate, you are free to not answer any question or to withdraw at any time without affecting those relationships.
Contacts and Questions:
The researchers conducting this study are David Bugg and Dianne Dentice. You may ask any questions you have by contacting David Bugg in any of the following ways by mail at (Department of Sociology, 311-1 Satterlee Hall, 44 Pierrepont Avenue, Potsdam, NY, 13676-2294), via e-mail at buggd@potsdam.edu or by phone at 315-267-3481 or Dianne Dentice in any of the following ways by mail at (Department of Social and Cultural Analysis, Stephen F. Austin State University, 1936 North St., Nacodogches, TX 75962), via e-mail at denticede@sfasu.edu or by phone at 936-468-2241.
If you have any questions or concerns regarding this study and would like to talk to someone other than the researcher(s), you are encouraged to contact Michael E. Walker, Chair; Institutional Review Board for Stephen F. Austin State University; PO Box 13046, Nacogdoches, Texas 75962-3046; 936-468-4402; FAX 936-468-6014; irb@sfasu.edu.
Approval by the Institutional Review Board attests only that appropriate safeguards have been included in the research design to protect human participants. This approval does not imply that the College endorses the content of the research or the conclusions drawn from the results of the research.
You may print a copy of this information to keep for your records.
Statement of Consent:
I have read the above information. I have asked questions and have received answers. I consent to participate in the study. By clicking to continue this survey I give my consent to participate. Further, I understand that I may skip any question in the survey without penalty and that I am not required to complete the survey if I so choose.
Signature of Investigator:David Bugg and Dianne Dentice
Date: 4/30/10