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CONSENT TO PARTICIPATE IN A RESEARCH STUDY

 

You have been invited to take part in a research study to learn more about specific learning disability identification. This study will be conducted by Karolina Nicewicz, School Psychology Department, College of Liberal Arts and Sciences, St. John’s University, as part of her doctoral dissertation. Her faculty sponsor is Dr. Dawn Flanagan, School Psychology Department.

 

If you agree to be in this study, you will be asked to participate in a one-time online survey. Participation in this study will involve approximately 20 minutes of your time.  

 

There is no risk involved. Although you will receive no direct benefits, this research may help the field of school psychology in determining the methods used in specific learning disability identification among school psychologists. You will not be compensated for your time.

 

Any information about you will be written in such a way to protect your confidentiality and the confidentiality of those around you. Your name will not be used in this study to protect your right to privacy. Confidentiality will be strictly maintained by keeping consent forms separate from data to make sure that your name and identity will not become known or linked with any information that you provide. Consent forms will be in a password protected file. Responses will be deleted after the data have been analyzed.

 

No one will have access to any information about you except for the principal investigator, Karolina Nicewicz.

 

Your participation in this study is completely voluntary. You may refuse to participate or withdraw at any time without penalty. You have the right to skip or not answer any questions you prefer not to answer.

 

If there is anything about the study or your participation that is unclear to you or that you do not understand, if you have questions or wish to report a research-related problem, you may contact Karolina Nicewicz at karolina.nicewicz14@stjohns.edu or Dr. Dawn Flanagan at flanagad@stjohns.edu from the School Psychology Department at St. John’s University. For questions about your rights as a research participant, you may also contact the University’s Institutional Review Board, St. John’s University, Dr. Raymond DiGiuseppe, Chair digiuser@stjohns.edu, 718-990-1955, or Marie Nitopi, IRB Coordinator, nitopim@stjohns.edu, 718-990-1440.

 

By agreeing to sign this consent form, you understand the purpose, risks, and benefits of this research study.

 

If you select "Yes," you are agreeing to the terms and conditions of this research study. 

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