RESEARCH CONSENT FORM FOR STUDY PARTICIPANT
PROJECT TITLE: Educational Experiences at HMC
You are being asked to participate in a research project conducted by Dr. Debra Mashek in the Department of Humanities and Social Sciences at Harvey Mudd College. You are being asked to participate because you consented to participate in an earlier piece of the study and because you are currently enrolled at Harvey Mudd College .
The purpose of this study is to evaluate the educational experiences of students at Harvey Mudd and the influence these experiences have on students' personal growth and development.
PERMISSION TO CONTACT THE REGISTRAR:
During the course of the study I would like to contact the Registrar's office to obtain information contained in your academic record (i.e., enrollment status, GPA, academic standing, number of credit hours, types of courses taken, and SAT or ACT scores). This information will be recorded using study ID codes, not your name. Do you consent to allow the Registrar to provide this information to my research team? Please select your response:
PERMISSION TO OBTAIN INSTITUTIONAL ASSESSMENT DATA:
As a student at Harvey Mudd College , college administrators sometimes ask you to complete surveys; these surveys are forms of institutional assessment. Data from these assessments are managed by the Dean of Students and by the Dean of Faculty.
During the course of this study I would like to contact the Deans to obtain responses from institutional assessments you completed. This information will be recorded using study ID codes, not your name. Do you consent to allow the Dean of Students and the Dean of Faculty to provide this information to my research team? Please select your response:
I encourage you to print a copy of this consent form for your records.
I understand the above information and have had all of my questions about participation on this research project answered. I voluntarily consent to participate in this research.
Your electronic signature (please type your full name):