PETIT DE CROIX INGENIERO JEFE

University of North Carolina-Chapel Hill Consent to Participate in a Research Study Adult Subjects

Social-Behavioral Form

________________________________________________________________________ IRB Study # EXSS 05-019

Consent Form Version Date: 10/02/05

Title of Study: Women as volunteers: Understanding the female experience Principal Investigator: Linda Oakleaf

UNC-Chapel Hill Department: Exercise and Sport Science UNC-Chapel Hill Phone number: 919-962-1222

Email Address: [email protected] Faculty Advisor: Dr. Diane Groff Funding Source: None

Study Contact telephone number: 919-962-1222 Study Contact email: [email protected]

_________________________________________________________________

What are some general things you should know about research studies?

You are being asked to take part in a research study. To join the study is voluntary.

You may refuse to join, or you may withdraw your consent to be in the study, for any reason. Research studies are designed to obtain new knowledge that may help other people in the future. You may not receive any direct benefit from being in the research study. There also may be risks to being in research studies.

Deciding not to be in the study or leaving the study before it is done will not affect your relationship with the researcher, the Girl Scouts, or the University of North Carolina-Chapel Hill.

What is the purpose of this study?

The purpose of this research study is to learn about why women engage in volunteering, how they negotiate constraints to volunteering, and what kind of role volunteering plays in their

You are being asked to be in the study because you have indicated an interest in participating, and you are a female adult volunteer with the Girl Scouts.

How many people will take part in this study?

If you decide to be in this study, you will be one of approximately 10-20 people in this research study.

How long will your part in this study last?

Interviews will last somewhere between 30-60 minutes. Participants who wish to be contacted later for follow-up will be interviewed for an additional 20-30 minutes. What will happen if you take part in the study?

Participants will be interviewed in a location of their choosing, either in their homes or at a public location such as a coffee shop. The interview is expected to last between 30 and 60 minutes. Participants who wish may be contacted for a follow-up interview that should last between 20 and 30 minutes. During the interview you will be asked questions about your experience as a Girl Scout volunteer, such as “Why do you volunteer?” You may decline to answer any question at any time. All interviews will be audiotaped. The tapes will be destroyed once the data analysis is complete.

What are the possible benefits from being in this study?

Research is designed to benefit society by gaining new knowledge. There is little chance you will directly benefit from being in this research study.

What are the possible risks or discomforts involved with being in this study?

Although every effort is made to keep research records private, there is still a small risk that your privacy may be compromised.

How will your privacy be protected?

All interviews will be transcribed and stripped of any identifying data. All tapes will be destroyed once the data have been analyzed. Before being transcribed, tapes are kept in a locked cabinet in the principal researcher’s home. Only the researchers will have access to these tapes and transcripts. No subjects will be identified in any report or publication about this study.

Although every effort will be made to keep research records private, there may be times when federal or state law requires the disclosure of such records, including personal information. This is very unlikely, but if disclosure is ever required, UNC-Chapel Hill will take steps allowable by law to protect the privacy of personal information. In some cases, your information in this research study could be reviewed by representatives of the

University, research sponsors, or government agencies for purposes such as quality control or safety.

Will it cost you anything to be in this study?

It will not cost you anything except your time to be in the study. What if you have questions about this study?

You have the right to ask, and have answered, any questions you may have about this research. If you have questions, you should contact the researchers listed on the first page of this form.

What if you have questions about your rights as a research subject?

All research on human volunteers is reviewed by a committee that works to protect your rights and welfare. If you have questions or concerns about your rights as a research subject you may contact, anonymously if you wish, the Institutional Review Board at 919-966-3113 or by email to [email protected].

Subject’s Agreement:

I have read the information provided above. I have asked all the questions I have at this time. I voluntarily agree to participate in this research study.

_________________________________________ _________________

Signature of Research Subject Date

_________________________________________ Printed Name of Research Subject

_________________________________________ _________________ Signature of Person Obtaining Consent Date

_________________________________________ Printed Name of Person Obtaining Consent

_______ I AM interested in being contacted by the researcher for a follow-up interview. (Please fill out contact information below).

_______ I am NOT interested in being contacted by the researcher for a follow-up interview. (Please do NOT fill out contact information below).

Contact information for follow-up interview: Name:

Address:

Phone:

Email: