CONSENT FORM

Project Title:  The Impact of Police Brutality among African-American Undergraduate College Students in
the United States

Primary Investigator:  Roy Crawford

Contact Email:    crawfroy@kean.edu


Invitation to participate in our study:  You are being asked to participate in a research project on the the impact of police brutality among African-American undergraduate college students in the United States. "Police brutality" is defined as any form of police misconduct towards citizens. An undergraduate student researcher conducts this study as part of a research seminar.  We hope to learn about how police brutality affects the undergraduate population of college students.

Purpose of the study:  Information gathered for this project will provide an comprehensive understanding for how police brutality affects undergraduate college students.

Procedures:  Researchers may gather information in one or more of the following methods: a survey.

You are under no obligation to participate in the research project, and your refusal will result in no consequences of any kind. To protect your privacy, you will not be identified by name in any notes or essays that result from the project. In addition, any details or facts that might enable people who you know to recognize you will be removed from written accounts.

Research for this project will be conducted by an undergraduate researcher under the supervision of Kean University Faculty member.

Participation:  Participation in this research is completely voluntary.  If at any time - during or after the observation of your session - you decide that you do not want to participate, your participation will be withdrawn without penalty.

Potential risks:  There is a possibility that researchers' observations may in some way become public, and that you might be identified by readers who know you.

Potential benefits: There are no direct benefits to you.  The educational community as a whole, however, will benefit from the increased understanding of current trends in police brutality among the young adult population.

Financial Obligation:  There is no financial obligation on the part of participants.

Compensation:  There is no compensation for participation in this study.

Confidentiality:  You will not be mentioned by name in researchers' notes.   Records of your responses will be kept under the researcher’s supervision for the duration of the study.

Contact Information:  If you have questions or comments about the study, contact:

Researcher's name:  Roy Crawford

                      Email:  crawfroy@kean.edu



Agreement to participate:
I have read or had read to me all of the above information about this research study, including information related to procedures, confidentiality, risks and side effects, benefits, costs, compensation and contact information.  The meaning of this information has been explained to me and I understand it.  I have asked all of the questions I have about this study and my questions have been answered to my satisfaction.

I hereby consent to participate in this study. I understand that my participation is voluntary and that I may withdraw from the study at any time.  I further understand that my withdrawal or refusal to participate in this study involves no penalty.