STUDENT CONSENT FORM
THE CIRP FRESHMAN SURVEY INFORMATION SHEET

PURPOSE OF THE STUDY
You are asked to complete this survey as part of a national study conducted by the Higher Education Research Institute (HERI) at the University of California, Los Angeles. This study is designed to determine what happens to students when they attend college. Since 1966, over 15 million students at over 1,900 colleges and universities have participated in this research. The data gathered are used in studies designed to better understand student learning and development and to help improve the quality of college education.

PROCEDURES
To participate in this study, please complete and submit the attached survey. Most respondents complete this questionnaire in about 25 minutes, although individual progress will vary by how quickly you move through the questions. You may decide not to complete the survey for any reason at any time without consequence of any kind. The Higher Education Research Institute does not offer payment for participation. Your participation and responses to the questionnaire indicate your consent to participate in the study. We ask for your name and address so that the researchers at UCLA can contact you at some later date for follow-up study. Please note that student academic data will be collected and tied to survey response. Student academic data includes: course enrollment, course performance, term GPA, and participation in academic and support programs. Your choice to participate or not will not negatively impact your status with the David Eccles School of Business.

POTENTIAL BENEFITS TO SUBJECTS AND/OR SOCIETY
You may have the opportunity to reflect on your prior academic experiences and your expectations for college as you complete the survey, which may enhance self-understanding. Your responses to the survey also will be directly beneficial to your college or university, and may benefit future generations of college students as well.

POTENTIAL RISKS AND DISCOMFORTS
There could be survey items that you are uncomfortable answering or to which you would simply prefer not to respond. Your participation in this study is strictly voluntary, and you will be under no obligation whatsoever to answer any questions that you are not inclined to answer. You may choose not to answer any specific questions you do not want to answer and still remain in the study.

CONFIDENTIALITY
Please note that your responses will be used for research purposes only and will be strictly confidential. Any information that is obtained in connection with this study and that can be identified with you will remain confidential. Your identified responses will be returned to your institution for institutional assessment purposes. Before receiving any responses your school is required to certify in advance that the data will only be used for research purposes and will not be used to investigate specific individuals. Names and addresses will not be returned to your institution, however Student ID Numbers will be included in the final data file to allow your institution to merge responses with other campus data. Please note that student academic data will be collected and tied to survey response. Student academic data includes: course enrollment, course performance, term GPA, and participation in academic and support programs. Your choice to participate or not will not negatively impact your status with the David Eccles School of Business.

RIGHTS OF RESEARCH SUBJECTS
You may withdraw your consent at any time and discontinue participation without penalty. You are not waiving any legal claims, rights or remedies because of your participation in this research study. If you have questions regarding your rights as a research subject, contact the UCLA Office for Protection of Research Subjects, 10889 Wilshire Blvd, Suite 830 Los Angeles, CA 90095-1406, (310) 825-7122.

If you have any questions, complaints, or if you feel you have been harmed by this research please contact Tara Hardison at 801-581-7669 or tara.hardison@business.utah.edu Dr. Jason L. Taylor at 801-587-1692 or via email at jason.taylor@utah.edu. If you have questions regarding your rights as a research participant, contact the Institutional Review Board (IRB) if you have questions regarding your rights as a research participant. Also, contact the IRB if you have questions, complaints or concerns which you do not feel you can discuss with the investigator. The University of Utah IRB may be reached by phone at (801) 581-3655 or by e-mail at irb@hsc.utah.edu. If you have any questions or concerns about the research from the Higher Education Research Institute, please contact the Managing Director of HERI and Director of CIRP, Dr. Kevin Eagan Email: heri@ucla.edu Phone: 310-825-1925.

Your participation in this survey is completely voluntary, and you are free to decline answering any of the questions that might be asked. Again, your choice to participate or not will not negatively impact your status with the David Eccles School of Business. By clicking “yes” below, you are consenting to participate in this survey and to use your academic data for research purposes.

Sincerely,

Tara Hardison | Tara.Hardison@Eccles.Utah.edu
Director, Student Engagement & Assessment
David Eccles School of Business