Participant Consent Form (B)

Participant Consent Form (B)
Name*

First NameLast Name
Email*
example@example.com
Date of birth*

MonthDayYear
Date
Gender*

MaleFemaleNon-BinaryTransgenderOther
Informed Consent:

*Your participation in this study is entirely voluntary, and you may decide to discontinue your participation at any time.

* Names will be kept confidential and only utilized for academic purposes. Data collected will be appropriately stored in an external encrypted drive to ensure confidentiality.

*The data will only be accessible by the primary researcher and co-researcher.

*No other personally identifiable information will be recorded as part of the research study. Results of the study will be shared in the final dissertation document and will not contain any identifiable information that would reveal or otherwise identify individuals who participated in the study.
Please select one of the options:

Yes, I consent to participate in this studyNo, I do not consent to participate in this study
Date Signed

MonthDayYear
Date
*Please follow this link before you hit the submit button; it will take you to the study on a Google Slides document. Please follow the directions on the first slide.*

https://docs.google.com/presentation/d/1cl4IFXYe9q4xMyhhj1jgPN8NmCQyx-KXZl0dnSGY0AI/edit?usp=sharing
Should be Empty: