Informed Consent

This informed consent form is for doctoral students in CACREP accredited counselor education programs who are invited to participate in the research study entitled, “Research Mentorship: An exploratory study of doctoral student satisfaction and research engagement.”

Principle Investigator: Alyse M. Anekstein, M.S., LPC, NCC

Name of Organization: Idaho State University: Department of Counseling

Name of Faculty Sponsor: Linwood G. Vereen, Ph.D., LPC, NCC

This Informed Consent Form has two parts:
• Information Sheet (to share information about the study with you)
• Certificate of Consent (agree or disagree to participate)

Please print a copy of the full Informed Consent Form for your records

Introduction:
I will be conducting research on the perceptions and satisfaction of doctoral students in CACREP accredited counselor education programs regarding their research mentoring relationships. This form will give you additional information about this research. Please ask any questions that you may have about the research as you read over this form and throughout the research process. If you choose to participate in this study it will take 15 minutes to complete the surveys online.

Purpose of the research:
The purpose of this research study is to explore the perceptions and satisfaction regarding the research mentoring relationships of doctoral students in CACREP accredited counselor education programs. Specifically, this study aims to understand the mentor roles utilized, the classification of productivity of doctoral students, and their level of satisfaction within the mentoring relationship experience.

Type of research:
This research will involve your participation in one time survey through the web-based tool Survey Monkey.

Participant selection:
You are being asked to participate in this study because you are a doctoral student in a CACREP accredited program.

Voluntary participation:
Your participation in this research is completely voluntary. It is your choice whether to participate or not. You may change your mind at a later date and you may refuse or discontinue participation at any time without consequence or prejudice.

Duration:
This study will take place during the Spring 2014 academic semester, beginning after Institutional Review Board approval and ending approximately April 2014.

Risks:
Although there is minimal risk associated with participating in the study, there is a possibility that participants will feel uncomfortable engaging in this study. If your participation in this research has caused you to feel uncomfortable in any way, or if the research prompted you to consider personal matters about which you are concerned, I encourage you to contact a local mental health agency.
Benefits:
There may be no direct benefits for participating. However, your participation will benefit doctoral students like you in academia.

Reimbursements:
You will not be provided any incentives to participate in this research.

Confidentiality:
The demographic information collected from this research will be kept confidential. Each questionnaire will be identified with an alphanumeric code. Only the researcher, who is listed at the top of this form, involved in this project will have access to any identifying information and Dr. Linwood G. Vereen, the faculty sponsor for this research.

Sharing the results:
During the course of data collection and analysis this research will not be shared with anybody outside the research team, and nothing will be attributed to you by name. Any confidential or identifying information will not be shared. The knowledge gained from this research will be shared with the faculty sponsor for this research, Dr. Linwood G. Vereen, before it is made available to the public. Following the dissemination of the results at national or regional conferences, we may choose to publish the results so that other interested people may learn from the research.

Right to refuse or withdraw:
Your participation in this study is voluntary and you may withdraw at anytime. You may refuse or discontinue participation at any time without consequence or prejudice.

Who to contact:
If you have any questions you can ask them now or later. If you wish to ask questions, you may contact Dr. Linwood G. Vereen at verelinw@isu.edu. The Idaho State University Institutional Review Board has approved this study. You may contact the Idaho State University Institutional Review Board chair, Dr. Ralph Baergen, at humsubj@isu.edu.

Question Title

* Certificate of Consent:
I have read the foregoing information, or it has been read to me. I know I can ask questions about it and any questions I have asked have been answered to my satisfaction. I consent voluntarily to be a participant in this study.

 
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