* 1. You are invited to take part in a research survey about diversity on this college campus. Your participation will require approximately 20 to 30 minutes and is completed online at your own computer.

It is extremely unlikely that participation will cause any risks to you. However, some people may experience embarrassment or discomfort when answering sensitive questions about themselves.

As an incentive for participating in this survey, you are able to provide an email address at the end of this survey. Leaving your email address will provide you with ELIGIBILITY to be rewarded with one of a LIMITED number of gifts which have been allocated for participants of this research.

Taking part in this study is completely voluntary. If you choose to be in the study you can withdraw at any time without adversely affecting your relationship with anyone at Dixie State College. Your responses will be kept strictly confidential, and digital data will be stored in secure computer files. All information you provide to us will be used exclusively for research purposes. Any report of this research that is made available to the public will not include your name or any other individual information by which you could be identified. Individuals’ answers will not be shared with anyone.

The results from this study will contribute to knowledge about diversity at Dixie State College.

If you have questions or want a copy or summary of this study’s results, you can contact the researchers at kjolson@dixie.edu or dlarsenrife@dixie.edu. If you have any questions regarding: (1) the conduct of the research, (2) your rights as a participant, and/or (3) a research-related injury, contact the Dixie State College Institutional Research Board Chair, Frank Lojko at (435)652-7511 or by email lojko@dixie.edu. Please feel free to print a copy of this consent page to keep for your records.

  Yes No
The researcher has explained the purpose, procedure, duration, risks/benefits, and confidentiality of the study to me
I understand the conditions, compensation, and risks/benefits about the study after reading the form.
I have been given the opportunity to ask questions.
I realize I am free to skip question(s) and/or discontinue the study at any time without negative consequences.
I agree to voluntarily participate in this research study. I will print a copy of the consent and authorization form to keep.

Clicking the “Next” button below indicates your consent to participate in this survey.