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Human Subjects Committee

Florida State / Office of Research / Human Subjects Committee

Parental Consent Letter for Minors

(typically studies which would not exceed minimal risk)

Dear Parent:

I am a professor [a graduate student under the direction of Professor __________________] in the Department/Division/College of _____________________ at Florida State University. I am conducting a research study to __(explain purpose of study)__________________________________________.

Your child's participation will involve ___________________________. (Explain procedures and include the expected duration of the subject's participation). Your participation, as well as that of your child, in this study is voluntary. If you or your child choose not to participate or to withdraw from the study at any time, there will be no penalty, (it will not affect your child's grade, treatment, care, whichever applies - select only one). The results of the research study may be published, but your child's name will not be used.

Although there may be no direct benefit to your child, the possible benefit of your child's participation is __________________________________________________.

If you have any questions concerning this research study or your child's participation in the study, please call me [or Dr. ____________] at (***)***-****..

Sincerely,

(researcher's name)

* * * * * * *

I give consent for my child _(insert child's name here)________ to participate in the above study. (Release statement for audiotaping/videotaping or relinquishing confidentiality must be inserted here, if applicable).

Parent's Name:________________________________

Parent's Signature _________________________________ (Date) ________________

If you have any questions about your rights as a subject/participant in this research, or if you feel you have been placed at risk, you can contact the Chair of the Human Subjects Committee, Institutional Review Board, through the Vice President for the Office of Research at (850) 644-8633.