Informed Consent for Interview Participants
Informed Consent
Title: A Multicultural Center’s Role In Black Male Success At A Predominantly White Institution
1. My name is Stephan T. Moore. I am a doctoral candidate at Georgia Southern University. I am undertaking this research in order to ascertain the ways in which multicultural centers contribute to the success of Black Male students a predominantly white institution. 2. Purpose of the Study: The purpose of this research is to show how academic and social
programs and initiatives hosted by Multicultural Centers positively impact student satisfaction and engagement, including the ways in which their associated benefits affect the recruitment, retention, progression and graduation rates of Black males at predominantly white
institutions. It is also the expectation that the findings of the study will propel the
administration of various predominantly white institutions to implement additional programs to increase the likelihood of a successful outcome for Black male students.
3. Procedures to be followed: You will participate in a 10 question interview to be conducted by Mr. Moore. You will be asked questions concerning reason for selecting a PWI, the social challenges of being enrolled at a PWI, the academic challenges of being enrolled at a PWI, coping strategies used to deal with social challenges, coping strategies used to deal with academic challenges, particular services of the multicultural center that were accessed, the ways that the multicultural center helped you to overcome social challenges, the ways that the multicultural center helped you to overcome academic challenges and the role that the
multicultural center played in helping you to reach your senior year. The interview will last no more than 60 minutes.
4. Discomforts and Risks: Risks to you are minimal, meaning they are not thought to be greater than other risks you experience every day.
5. Benefits:
a. There are no direct benefits to the participants. b. This study will provide generable knowledge.
6. Duration/Time required from the participant: The interview is expected to last no longer than 60 minutes.
7. Statement of Confidentiality: The interview questions do not contain any information that could be linked to you. All information obtained in this study is strictly confidential unless disclosure is required by law. The IRB, regulatory agencies or Dr. Sogren may review research records. There will be no video recording of the interview. However, the interview will be audio-recorded with your express permission and then stored in a locked filing cabinet for 3 years following the conclusion of the study. Only the Principal Researcher and his Faculty Advisor will have access to the data during the study and in the 3 years after. 8. Future use of data. Deidentified or coded data from this study may be placed in
a publically available repository for study validation and further research. You will not be identified by name in the data set or any reports using information obtained from this study, and your confidentiality as a participant in this study will remain secure. Subsequent uses of
records and data will be subject to standard data use policies which protect the anonymity of individuals and institutions.”
9. Right to Ask Questions: Participants have the right to ask questions and have those questions answered. If you have questions about this study, please contact the researcher named above or the researcher’s faculty advisor, whose contact information is located at the end of the informed consent. For questions concerning your rights as a research participant, contact the Georgia Southern University Institutional Review Board at 912-478-5465.
10. Compensation: There are no costs to you or payments made for participating in this study. 11. Voluntary Participation: You do not have to participate in this research and may end your
participation at any time by telling the person in charge, not returning the instrument. Furthermore, you do not have to answer any questions that you do not want to answer. 12. Penalty: There is no penalty for deciding not to participate in the study, and you may decide
not to participate at any time, and you may withdraw without penalty or retribution. 13. You must be 18 years of age or older to consent to participate in this research study. If you
consent to participate in this research study and to the terms above, please sign your name and indicate the date below
You will be given a copy of this consent form to keep for your records. This project has been reviewed and approved by the GSU Institutional Review Board under tracking number H19154. Title of Project: A Multicultural Center’s Role In Black Male Success At A Predominantly White Institution
Principal Investigator: Stephan Moore, phone: (704) 747-996 email: [email protected] Faculty Advisor: Dr. Carl Sogren, email: (912) 478-3108, email: [email protected] Other Investigator(s): Not applicable
______________________________________ _____________________
Participant Signature Date
I, the undersigned, verify that the above-informed consent procedure has been followed. ______________________________________ _____________________
APPENDIX G- Conceptual Framework
Challenges Faced: 1) Harsh Socio-Economic Realities 2) Inadequate College Preparation
3) Negative Racial Stereotypes 4) Hostile College Climate 5) Lack of Academic and Social
Support
LACK OF /