* 1.

Consent and Authorization Document for Minimal Risk Research


BACKGROUND

You are being asked to take part in a research study. The purpose of this study is to improve the inclusivity and diversity of library services and spaces for traditionally underrepresented students at the University of Utah Marriott Library. Before you decide it is important for you to understand why the research is being done and what it will involve. Please take time to read the following information carefully. Ask us if there is anything that is not clear or if you would like more information. Take time to decide whether you want to volunteer to take part in this study.


STUDY PROCEDURE
It will take approximately five minutes to complete this study. As part of this study you will be asked to share your contact information if you would like to participate in a focus group about how you use the Marriott Library. If you don’t give us your contact information, all of your responses will be anonymous.  If you do share your name and contact information, we will remove any identifying data before sharing this material with others.

RISKS
The risks of this study are minimal. You may feel upset thinking about or talking about personal information related to the Marriott Library with other students. These risks are similar to those you experience when discussing such information with others. If you feel upset from this experience, you can tell the researcher, and he/she will tell you about resources available to help.

BENEFITS
There are no direct benefits for taking part in this study. However, we hope the information we get from this study may help develop a greater understanding of  how to make the J. Willard Library an even more welcoming space in the future.

Person to Contact
If you have questions, complaints or concerns about this study, you can contact Lis Pankl by phone at (801) 585-3101 or via e-mail at Lis.Pankl@utah.edu..  If you feel you have been harmed as a result of participation, please contact Catherine Soehner at Catherine.Soehner@utah.edu, who may be reached during regular business hours

 Institutional Review Board: Contact the Institutional Review Board (IRB) if you have questions regarding your rights as a research participant. Also, contact the IRB if you have questions, complaints or concerns which you do not feel you can discuss with the investigator. The University of Utah IRB may be reached by phone at (801) 581-3655 or by e-mail at irb@hsc.utah.edu. 

Research Participant Advocate:  You may also contact the Research Participant Advocate (RPA) by phone at (801) 581-3803 or by email at participant.advocate@hsc.utah.edu.

VOLUNTARY PARTICIPATION
Research studies include only people who choose to take part.  You can tell us that you don’t want to be in this study.  You can start the study and then choose to stop the study later.  This will not affect your relationship with the investigator.

COSTS AND COMPENSATION TO PARTICIPANTS 
You will receive no compensation for participating in this study

CONSENT: 
By clicking the Yes button below, I confirm that I have read this consent and authorization document and would like to particpate in the survey.

* 2. Are you currently a  student at the University of Utah Salt Lake City campus?

* 3. What is your enrollment status?

* 4. What kind of degree are you pursuing?

* 5. What is your gender?

* 6. Which race/ethnicity best describes you? (Please choose only one.)

* 7. Which school are you in at the University of Utah?

* 8. What is your major?

* 9. Where is your favorite place to spend time in the Marriott Library?

* 10. Please leave your name and contact information if you would be willing to be contacted for an hour-long focus group about how you use the J. Willard Marriott Library and how we can improve it. You will receive food and be entered for a prize drawing if you participate :)

T