Informed Consent for Survey Questions

Mount St. Joseph University, Department of Sociology and Social Work

TITLE OF PROJECT: Understanding the Impact of the COVID 19 Pandemic on Social Work Field Placements: A Student’s Perspective

PRINCIPAL INVESTIGATOR:
Name: Dr. Jennifer Withrow, Roxana Hawkins, Dr. Richard Simon                                        
Phone number: 918-269-1149

DESCRIPTION OF STUDY:  The goal of this study is to understand how the COVID 19 outbreak impacted social work students completing field placement during the pandemic.

We are asking you to complete a survey regarding your field experience during the spring 2020 semester. The survey will take an average of 10-20 minutes to complete. There are no direct benefits for participating in this survey.

Electronic data will be secured in Dr. Jennifer Withrow’s password protected computer for seven years. As part of the survey your responses will be anonymous, and no IP addresses will be collected or associated with your responses. Downloaded data from Survey Monkey will be protected with SSL encryption.

NOTE: Participation in this study is voluntary.  Refusal to participate or discontinuation of participation will involve no penalty or loss of benefits to which you are otherwise entitled. Participation in this study will not have any impact on your grades, courses, placement evaluations, or home institutions. No responses will be shared, in any form, with your home institution and/or field placement.

Question Title

* 1. Do you consent to participate in this survey?

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