1. Informed Consent Form

 
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You are being asked to participate in a research project conducted by Paul J. Zak, PhD in the School of Politics and Economics, Claremont Graduate University (CGU) and the Center for Neuroeconomics Studies (CNS) in Claremont, CA. You are being invited to participate because you are an entrepreneur.


PURPOSE: The purpose of this study is to determine if entrepreneurs have a particular set of genetic and social characteristics.


PARTICIPATION: You will be asked to take a personality assessment, a basic questionnaire, and provide two (2) saliva samples which will be used for genetic testing. We expect your participation to take about 20 minutes of your time.


RISKS & BENEFITS: There are no risks to you as a participant. Your identity will be kept anonymous as the researchers will not be able to associate your genetic sample or questionnaire results with your name or other identifying information. Genetic testing will be limited to non-invasive saliva samples only. Testing will be restricted to genes related to decision making, including genes associated with the neurotransmitters serotonin, dopamine, and oxytocin. The genes being tested are unrelated to any known diseases. If you are uncomfortable with participating in confidential genetic analysis please do not participate in this study. We expect this research to benefit the scientific community by better understanding entrepreneurship.


COMPENSATION: You will receive no compensation for your participation.


VOLUNTARY PARTICIPATION: Please understand that participation is completely voluntary. Your decision whether or not to participate will in no way affect your current or future relationship with Claremont Graduate University or the Center for Neuroeconomics Studies. You have the right to withdraw from the research at any time without penalty. You also have the right to refuse to answer any question(s) for any reason, without penalty.


CONFIDENTIALITY: Your individual privacy will be maintained in all publications or presentations resulting form this study. All data will be stored using an identity masking code that will be supplied to you. The resreachers will have no access to the mapping from your name or other identifying information to the identity masking code. Your name will never be disclosed in any research publications or presentations.


If you have any questions or would like a copy of this consent form or if you would like additional information about this research, please contact me at (909) 607-0030, 150 E. 10th Street, Claremont, CA 91711, paul.zak@cgu.edu. The Claremont Graduate University Institutional Review Board, which is administered through the Office of Research and Sponsored Programs (ORSP), has approved this project. You may also contact ORSP at (909) 607-9406 with any questions.


A signed copy of this consent form will be returned to you.


I understand the above information and have had all of my questions about participation on this research project answered. I voluntarily consent to participate in this research.


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* 1. I understand the above information and have had all of my questions about participation on this research project answered.

I voluntarily consent to participate in this research.

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* 2. Your name

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* 3. Today's Date in the format MM/DD/YYYY

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