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consent form

IB Psychology Informed Consent Statement



Study Title:  (use the same title of the original experiment)

Experimenter(s):  (provide the full name of at all group members)


Description of Experiment: (provide a sentence or two about the general activities participants will do)




In order to participate in this research study, it is necessary that you give your informed consent. By signing this informed consent statement you are indicating that you understand the nature of the research study and your role in that research and that you agree to participate in the research.  Please consider the following points before signing:


·         I understand that I am participating in psychological research;


·         I understand that my identity will not be linked with my data, and that all information I provide will remain confidential;


·         I understand that I will be provided with an explanation of the research in which I participated and be given the name and telephone number of an individual to contact if I have questions about the research.  In addition, I understand that I may contact the Mr. Alex Case, IB Psychology instructor, if I have questions concerning my rights as a participant in psychological research or to report a research-related injury.


If you are running a study involving deception, the following clause is required:


·         I understand that certain facts about the study might be withheld from me, and the researchers might not, initially, tell me the true or full purpose of the study. However, the complete facts and true purpose of the study will be revealed to me at the completion of the study session.


·         I understand that participation in research is not required, is voluntary, and that, after any individual research project has begun, I may refuse to participate further without penalty.



By signing this form I am stating that I am over 16 years of age, and that I understand the above information and consent to participate in this study being conducted at Southwest High School in Minneapolis.



Signature: _________________________________________    Today’s Date: ________________

                                (of participant)



Print your First Name:  __________________   Print your Last Name: _____________________________