Investigator(s): Shannon Audley, Department of Education and Child Study, 413-585-3257 ………
We are doing a study to understand how students think about respect, disrespect, social identity (which includes ethnicity and heritage), school climate, and subtle or unintentional racism in the classroom. We are asking you to help because we don’t know very much about how youth experience respect, disrespect, and subtle or unintentional racism in the classroom. What we learn in this research may help teachers promote respect in their classrooms.
Your parent/guardian has said it is OK for you to participate, but it is up to you to decide if you want to or not. If you agree to be in our study, you will be asked to answer survey questions about how you think about respect and disrespect at school, school climate, and your experiences or witnessing your classmates
experiences of subtle or unintentional racism in the school setting. The survey will take you approximately 40 minutes to complete. At the end of the survey, you will be debriefed about your participation and be given a chance to ask any questions that may have resulted from your participation in the study. You might feel tired after answering the survey questions. If you feel tired you can take a break or stop completely. You may be worried that you will feel bad after answering these questions. If you feel bad you can stop, talk about it with the researcher or with someone at home. Some youth find it empowering to share their experiences with researchers.
You may ask us questions if you don’t understand. You may ask us questions at any time.
You may ask to skip a question, or to stop at any time. No one will be upset. The questions we ask are only about what you think. There are no right or wrong answers.
No information about you or anything else will be made available to any teacher or administrator. Our information will be kept completely confidential.
For completing at least one question of the survey, you will be given a chance to enter a drawing for a $25 Amazon gift card.
If you sign this paper, it means you have read and have been told about our study and you want to be in it. If you don’t want to be in the study, don’t sign the paper. Being in the study is up to you, and no one will be upset if you don’t sign the paper, or if you change your mind later.
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Appendix C – Assent Forms for Minors - Survey
Name of Participant (print): _______________________________________________________ Signature of Participant: _________________________________ Date: _____________
Signature of Researcher(s): _______________________________ Date: _____________
We also want to interview about your experiences at school involving respect and disrespect from your classmates and teachers. We will give you a $5 dollar amazon gift card for your time.
If you are interested in please leave us with your name and a way to contact you (email or phone number). This is not a promise to participate in the interview process. This only gives us information to contact you at a later time about a
follow-up interview.
Email: _____________________________________________ Phone:_____________________________________________
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Appendix C – Assent Forms for Minors - Interview
Assent to Participate in an Interview Research Study Smith College ● Northampton, MA
………. Title of Study: Everyday Injustice In Schools
Investigator(s): Shannon Audley, Department of Education and Child Study, 413-585-3257 ………
We are doing a study to understand how students think about respect, disrespect, and social identity, which includes ethnicity and heritage, in the classroom.
We are asking you to help because we don’t know very much about how youth experience respect and disrespect, in the classroom. What we learn in this research may help teachers promote respect in their classrooms.
You parent/guardian has said it is OK for you to participate, but it is up to you to decide if you want to or not. If you agree to be in our study, we will ask you to answer questions about how you think about respect and disrespect at school, and your experiences with respect and disrespect among your classmates and teachers. At the end of the survey, you will be debriefed about your participation and be given a chance to ask any questions that may have resulted from your participation in the study.
You will be interviewed once for approximately 30 minutes. You might feel tired after answering the questions. If you feel tired you can take a break or stop completely. You may be worried that you will feel bad after answering these questions. If you feel bad you can stop, talk about it with the researcher or with someone at home. Some youth find it empowering to share their experiences with researchers.
You may ask us questions if you don’t understand. You may ask us questions at any time.
You may ask to skip a question, or to stop at any time. No one will be upset. The questions we ask are only about what you think. There are no right or wrong answers.
No information about you or anything else will be made available to any teacher or administrator. Our information will be kept completely confidential.
For completing at least one interview question you will be given a $5 Amazon gift card.
If you sign this paper, it means you have read and have been told about our study and you want to be in it. If you don’t want to be in the study, don’t sign the paper. Being in the study is up to you, and no one will be upset if you don’t sign the paper, or if you change your mind later.
1.) I agree to be audio recorded for this interview.
Name of Participant (print): _______________________________________________________ Signature of Participant: _________________________________ Date: _____________
Signature of Researcher(s): _______________________________ Date: _____________ 2.) I agree to be interviewed, but I do not want the interview to be taped.
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Appendix C – Assent Forms for Minors - Interview
Name of Participant (print): _______________________________________________________ Signature of Participant: _________________________________ Date: _____________
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Appendix D –Consent Form for Emerging Adults
Consent to Participate in a Research Study Smith College ● Northampton, MA
……….
Title of Study: A Retrospective Exploration of (Dis)Respect and Subtle Racism in US High Schools Investigator(s): Shannon Audley, Education and Child Study, (413) 585-3257
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