Consent Information Page: Perceptions of Success



My name is Heather Morris Tuip and I am an undergraduate Psychology student from Eastern Washington University. I am completing a research project, under the supervision of Dr. Jillene Grover Seiver, studying the perceptions of success. This form explains the research and your part in it if you decide to join the study. Please read the form carefully and take as much time as you need. You can decide not to join the study. There will be no penalty if you decide not to take part in the study or quit later.



This study has been approved for human subject participation by the Eastern Washington University Institutional Review Board.



Purpose and Benefits:

In this study, we will examine perceptions of success. There are no direct benefits to you unless you are a student and your instructor has offered extra credit for participating.



Procedures:

This survey consists of reading a short story and answering 15 questions. It should take approximately 30 minutes to complete. You must be 18 years of age or older to participate in this research project.



Risk, Stress or Discomfort:

The risk of completing this survey is not greater than what is typically encountered in everyday life. The identities of all research participants will remain anonymous.



Other Information:

Data will be stored anonymously in a digital spreadsheet indefinitely, in accordance with APA guidelines. If submitted for publication, the anonymous data may be uploaded into a digital spreadsheet form to an online data repository, if required by the journal.



Your participation in this research study is completely voluntary. You may choose not to be a part of this study. You may choose not to answer specific questions or to stop participating at any time.



If you have any questions, please contact Heather Morris Tuip at hmorristuip@eagles.ewu.edu, or my research advisor, Dr. Seiver, at jseiver@ewu.edu. If you have any concerns about your rights as a participant in this research or any complaints you wish to make, you may contact Ruth Galm, Human Protections Administrator, Office of Grant and Research Development at (509) 359-7971 or rgalm@ewu.edu.



By answering any of the survey questions you are stating you are at least 18 years of age or older and your consent to voluntarily participate in this research is implied.