Smart I. Student

TEXAS SOUTHERN UNIVERSITY

College of Education

Department of Curriculum & Instruction

smart.student1234@student.tsu.edu

713-313-1234

"Determining the Advantages of Students Who Have Been Home-Schooled

versus Students Who Have Attended a Public High School"

CONSENT FORM

You are invited to participate in a research study conducted by Smart Student from Texas Southern University.

Study Purpose/Description: The hypothesis of this study is that students who have been home-schooled pose an academic advantage to their public high school cohorts, thus creating an advantageous start to career success and advancement. The results of this survey will show that home school students are at a more academic advantage than those educated in the high school system. This theory will be examined through the use of an anonymous survey, consisting of 15 questions, to be administered to first-year college students who will be randomly selected in New Student Orientation. Completion of the survey is expected to take between thirty-one minutes to one hour, and will be given at the Texas Southern University Library, Study Room #2, located on the 3rd Floor.

Risk: The probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life.

Risk: The probability and magnitude of harm or discomfort anticipated in the research could be greater in and of themselves than those ordinarily encountered in daily life. Should such discomfort occur the psychological risk may be ameloriated, as you may seek counseling at an expense to be borne by the you. For the purposes of this study, this investigator recommends: Dr. I.M. Okay; located at 1234 South Main Street; Houston, TX 77000.

Benefits: You are not expected to receive any direct benefit as a result of the research.

Voluntary Participation: Your participation in this study is voluntary, and you may choose to not participate at all, or cease participation in the study prior to the completion. You will not be penalized in any manner for not participating in the study.

Confidentiality: Your identity will not be attached to the data (you will remain anonymous).

Records (Physical): Completed survey instruments will be stored on the campus of Texas Southern University, within the Curriculum and Instruction Department's secured file room, in a locking file cabinet. - or - Completed survey instruments will be stored at my home office in which has electronic security surveillance. Documents will be maintained in a locked file cabinet, accessible only to the investigator.

Records (Electronic): Electronic data records will be password protected, in which only the investigator (and co-investigators) will have password access.

Records (Public): Records used in this study are made available to, and are accessible by, the general public.

Thank you for agreeing to participate in this study. Should you have questions or need to contact me about the research, I may be reached at the e-mail address on the front of this Consent document. You may also contact my advisor in the Department of Curriculum and Instruction, Dr. I.M. Smart, at 713-313-0000.

My signature affirms that I have read and do understand this Consent form; my rights as a participant, and the research in which I am agreeing to participate.

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Participant Signature	Date