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Social Construction of Reality - Bad Request

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The Campus Institutional Review Board <strong>of</strong>fers educational opportunities to research<br />

participants, prospective participants, the IRB process, the responsibilities <strong>of</strong> the<br />

investigator and the IRB. You may access the Campus IRB website to learn more about<br />

the human subject research process at http:/www.research.missouri.edu/cirb/index.htm.<br />

Please feel free to contact the researcher if you have questions. Additionally, you may ask<br />

questions, voice concerns or complaints to the research advisor, Dr. Joyce Piveral.<br />

Researcher’s Contact Information:<br />

Work: xxxxxxxxx<br />

Cell: xxxxxxxxxx<br />

Fax: xxxxxxxxxx<br />

Address<br />

City State<br />

Research Advisor’s Contact Information:<br />

Dr. Joyce Piveral<br />

PIVERAL@nwmissouri.edu<br />

Phone: (660) 562-1231<br />

Northwest Missouri State University<br />

800 University Drive<br />

Maryville, MO 64468-6001<br />

The Campus Institutional Review Board approved this research study. You may contact<br />

the Campus Institutional Review Board if you have questions about your rights, concerns,<br />

complaints or comments as a research participant.<br />

You can contact the Campus Institutional Review Board directly by telephone or email to<br />

voice or solicit any concerns, questions, input or complaints about the research study.<br />

Campus Institutional Review Board<br />

483 McReynolds Hall<br />

Columbia, MO 65211<br />

573.882.9585<br />

e-mail: umcresearchcirb@missouri.edu<br />

website: http://www.research.missouri.edu/cirb/index.htm<br />

A copy <strong>of</strong> this Informed Consent form was given to you before you participated in the<br />

research.<br />

Signature<br />

I have read this consent form and my questions have been answered. My signature<br />

below means that I do want to be in the study. I know that I can remove myself from<br />

the study at any time without any problems.<br />

_________________________________________________ _________________<br />

Your Signature Date<br />

118

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