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SAMPLE INFORMED CONSENT Informed Consent to …

SAMPLE INFORMED CONSENT . INFORMED CONSENT to Participate in a research Study Smithsonian Institution [Insert Unit Name and Address]. Title of research project : Name of Principal Investigator: Phone Number of Principal Investigator: A. PURPOSE AND BACKGROUND. [Insert researcher's name and affiliation] is conducting research on [insert what the research is about in terms understandable to the potential participant]. The purpose of your participation in this research is to help the researcher [insert why you are doing this research .] You were selected as a possible participant in this study because [state why the subject was selected]. NOTE: If Researcher is not the Principal Investigator, add information regarding supervision of researcher.

Title of Research Project: Name of Principal Investigator: Phone Number of Principal Investigator: S:\CATHY\IRB-Human Subject\CONSENTS\Consent sample.doc . A. PURPOSE AND BACKGROUND [Insert researcher’s name and affiliation] is conducting research on [insert what the research is about in terms understandable to the potential participant

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