* 1. Participant Consent Form

Dear School Professional:

Rutgers Cooperative Extension is conducting a follow-up study of the School IPM Coordinator training program that has been offered by the NJ Department of Environmental Protection Pesticide Control Program, the NJ Association of Designated Persons and Rutgers Cooperative Extension.

The purpose of this survey is to evaluate the training program you attended, plan future training programs and identify resources that will help you comply with NJ School IPM regulations.

Participation in the survey is voluntary and your responses will be kept in strict confidence. The survey is anonymous. There is no data on the survey that identifies you or your school by name. Your name will not appear in any publications or be given to any third party. There are no risks to you as a participant.

You can participate in the survey by answering the questions below. It will take about 15 minutes to complete the survey. You may discontinue participating in the survey at any time, without penalty.

I will do my best to protect your privacy as a research participant. Because this information is being sent (transmitted) over the Internet, there is a possibility that an outside party (such as a hacker) may be able to gain access to your information. If this survey is completed on a computer in a public accessible area, such as in a restaurant, at school or work, please understand that this can increase the possibility that others may be able to access your survey responses. Therefore, it is strongly advised that this survey be completed on a private computer to protect your privacy. Please remember to always completely close your browser (or log-off the survey area) after completing the survey.

I will keep this information confidential by preventing any other individuals’ access to the research data and keeping it in a secure location. The Institutional Review Board at Rutgers University and I are the only parties that will be allowed to see the data, except as may be required by law. If a report of this study is published, or the results are presented at a professional conference, only group results will be stated.

If you have questions about the survey, you may contact me, Madeline Flahive DiNardo, Agricultural Agent, Rutgers Cooperative Extension of Union County, at Flahive@aesop.rutgers.edu or (908) 654-9854.

Thank you for taking a few minutes of your time to participate in this survey. There is no compensation for participating in this survey. Your responses will help us to improve and expand training programs offered for you and your colleagues.

If you have any questions about your rights as a research project subject, you may contact the IRB Administrator at Rutgers University at:
Rutgers University Institutional Review Board for the Protection of Human Subjects
Office of Research and Sponsored Programs
3 Rutgers Plaza
New Brunswick, NJ 08901-8559
Tel: 838-932-4058
Email: humansubjects@orsp.rutgers.edu

Sincerely,

Madeline Flahive DiNardo, MBA
County Agricultural Agent, Associate Professor

This informed consent form was approved by the Rutgers University Instutional Review Board for the Protection of Human Subjects on June13, 2014. Currently, there is no expiration on the approval of this form.

I agree to participate in the "School IPM Coordinator Survey".

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