Informed Consent Agreement

[Please read in its entirety]
CITY UNIVERSITY OF NEW YORK
Lynn Roberts, Hunter College School of Public Health
Roderick Watts, Hunter College School of Social Work/The Graduate Center
Departments of Community Health Education (Roberts) and Social & Personality Psychology (Watts)

Project Title: Predicting Future Civic and Political Engagement from the Experiences of High School and College Students

Principal Investigators: Lynn Roberts, PhD, Assistant Professor
CUNY School of Public Health at Hunter College
Silberman Building, 2180 Third Avenue, Room 530
New York, New York 10035
(212) 396-7742

Roderick Watts, PhD, Professor
Hunter College School of Social Work
Silberman Building, 2180 Third Avenue, Room 602
New York, New York 10035
(212) 396-7556
Introduction/Purpose: You are invited to participate in a research study. The study is conducted under the direction of Lynn Roberts, Assistant Professor, CUNY School of Public Health at Hunter College and Roderick Watts, Professor in the Hunter College School of Social Work. The purpose of this research study is to explore the relationship between early life experiences, participation in activism training or a college course in community organizing, and sustained civic and political engagement. The results of this study may inform identity development in activists and provide new insights for the education and training of future activists and practitioners.

Procedures: Approximately 400 individuals are expected to participate in this study. Each subject will participate in completion of an on-line survey via Survey Monkey. The time commitment of each participant is expected to be approximately 45 minutes. Finally, you will be asked whether you are willing to be contacted (via phone or e-mail) in the future for a follow-up interview.

Possible Discomforts and Risks: Your participation in this study will involve only minimal risks such as those encountered in daily life. For example, it might be stressful or inconvenient to recall and provide information regarding your earlier experiences related to the training (MAAP) or course (Hunter). You might also be reluctant to provide information on-line that might compromise your confidentiality. We are making every effort to ensure that no one knows what your responses are on the survey. Survey Monkey is a well-known company that collects data for online survey research. The researchers have purchased an encrypted version of their product to reduce the risk to subjects that their responses will be viewed by unauthorized persons. However, the study is not being run from a secure http server such as those used to handle credit card transactions, so there is a small possibility that responses could be viewed by unauthorized third parties, such as computer hackers. To minimize these risks you will be provided a reasonable time-frame to complete the survey. If you are bothered as a result of this study you should contact the Principal Investigator, Lynn Roberts at (212) 396-7742 or lroberts@hunter.cuny.edu.

Benefits: There are no direct benefits to you for participating in this study, however, you will have the opportunity to reflect on your experiences and commitments to civic and political engagement. This might provide valuable insights that will be helpful in your future life and career development.

Voluntary Participation: Your participation in this study is strictly voluntary and you may decide not to participate or answer any questions at any time without prejudice, penalty, or loss of benefits to which you are otherwise entitled. If you decide to leave the study, please contact the Principal Investigator, Lynn Roberts, at (212) 396-7742 or lroberts@hunter.cuny.edu to inform her of your decision. You should contact the Hunter College Human Research Protection Program (HRPP) Office at (212) 650-3053 if you have any questions regarding your rights as a subject or if you feel you have experienced a research-related injury.

Financial Considerations: Participation in this study will involve no cost to you. For your participation in this study you will receive a $20 bookstore gift certificate that will be redeemable on-line after completion of the survey.

Confidentiality: The data obtained from you will be collected via an on-line survey. Your name will not be asked on the survey or associated with your responses. Only the researchers will review your answers. Your name or any identifying information about you will not be used in any presentation of the results of the survey. The researchers will protect your confidentiality by downloading only the coded survey data from Survey Monkey. The collected data will only be accessible to and stored on password-protected computers maintained by the Principal Investigators, Lynn Roberts and Roderick Watts as well as the Graduate Research Assistant, Debangshu Roychoudhury.

Contact Questions/Persons: If you have any questions about the research now or in the future, you should contact the Principal Investigator, Lynn Roberts via phone at (212) 396-7742 or via e-mail at lroberts@hunter.cuny.edu. If you have any questions concerning your rights as a participant in this study, you may contact the Hunter College Human Research Protection Program (HRPP) Office at (212) 650-3053/hrpp@hunter.cuny.edu.


By completing this survey you are giving your consent to participate.

* 1. Please also indicate below whether you are willing to be contacted in the future for a follow up interview:

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