Bard Institutional Review Board
IRB Home Summary: What to Do Informed Consent Frequently Asked Questions Training and Certification Interview Procedures, Ethnographic Work, Oral Histories, and Exempt Status Is My Project Exempt? Guidelines for Internet Research Checklist Submit Online Meeting Dates Contact the IRB	INFORMED CONSENT CHECKLIST Be sure to include these elements in your consent form or script. _____The name of the researcher and his or her institutional and departmental affiliation _____Statement that this is a research activity (e.g., use the word “experiment”) _____The purpose of the study _____Why the participant has been invited to participate _____What the participant is expected to do _____How long it should take to participate _____Potential inconveniences, discomforts, and risks _____The extent to which and the means by which confidentiality will be maintained _____Potential benefits Statement(s) specifying that: _____participation is voluntary _____the individual may refuse to participate _____the participant may skip questions or tasks _____the participant can discontinue participation at any time without penalty _____the participant has had the chance to ask questions and that any questions have been answered _____Contact information for the primary researcher and the IRB chair (Contact information for Senior Project Advisor is optional) _____When applicable, notification that the participant will receive a copy of the consent form _____When applicable, a statement verifying that the participant is at least 18 years old _____When applicable, signatures of participant and primary investigator The consent form must be expressed in clear, simple language that participants can easily understand back to top

Bard Institutional Review Board

INFORMED CONSENT CHECKLIST

Be sure to include these elements in your consent form or script.

_____The name of the researcher and his or her institutional and departmental affiliation

_____Statement that this is a research activity (e.g., use the word “experiment”)

_____The purpose of the study

_____Why the participant has been invited to participate

_____What the participant is expected to do

_____How long it should take to participate

_____Potential inconveniences, discomforts, and risks

_____The extent to which and the means by which confidentiality will be maintained

_____Potential benefits

Statement(s) specifying that:

_____participation is voluntary

_____the individual may refuse to participate

_____the participant may skip questions or tasks

_____the participant can discontinue participation at any time without penalty

_____the participant has had the chance to ask questions and that any questions have been answered

_____Contact information for the primary researcher and the IRB chair (Contact information for Senior Project Advisor is optional)

_____When applicable, notification that the participant will receive a copy of the consent form

_____When applicable, a statement verifying that the participant is at least 18 years old

_____When applicable, signatures of participant and primary investigator

The consent form must be expressed in clear, simple language that participants can easily understand