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SIgnW,,'ums:
<br /> As a represent-ativeof this study,, I have,explained t: �ie plurpose,the procedures,,,, the ben efits, and
<br /> the girl sks that are,i nvol ved n thJ s research study"
<br /> n n
<br /> Signature a� �id p,6 led namire ofperson obtainingemsenit Date,,
<br /> (Studentresearcher or PI)
<br /> I I n
<br /> person dbta—ninig conise� it
<br /> You hiave been informied About th'is,study"s,purii, ose,, procedures,, poss,[ble benefits,and risks and
<br /> h ni given the,oppof,, unity to ask questions
<br /> h J yof,u have, received a copy oft: v s Form. You, I �iave bee�
<br /> before yolu s,ig,n,,andyou have been to,ld that yolu may askother questions at any time. You,
<br /> I I I n g a ny of yo,�ur
<br /> vol u Mari ly a,g ree to,partici pate�n thi s study. ��By s'igr n n,g,this form,yolu are,n,ot wa V'V
<br /> legal rights.
<br /> Printed Nameof Participant Date,,
<br /> I n
<br /> Signature of'Partxipa A
<br /> Signature of'Prindpal III nivestigator it Facuity Advis,o,r Date,,
<br /> Y h n
<br /> ou �iave bee �i informied that therewill be an audiolvideorecotd of your interviewfor the,purpose,
<br /> of this research.
<br /> I n
<br /> Signature of'Partxipa A Date,,
<br /> n
<br /> Signature of'Principal I[ ivestigator o�r FacUty A,dvis,o,r Date,
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