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Aprovao n: ________
Data de vencimento: ______
Rubrica do/a participante: ____________
Verso do documento: _________
Pgina PAGE \* Arabic \* MERGEFORMAT 1 de NUMPAGES \* Arabic \* MERGEFORMAT 2
Formulrio de Aceitao de Menor
Insert Study Title
O meu nome _______ e estou a realizar um estudo para aprender sobre ______(e.g., how students learn in school).
J falamos com os seus pais a respeito do estudo e disseram que pode participar se quiser. Se no quiser participar do estudo, pode dizer No que ningum ficar aborrecido com a sua pessoa e nada de ruim acontecer. Alm disso, pode mudar de ideia a qualquer momento que ningum ficar aborrecido e nada de ruim acontecer.
Se optar por participar do estudo, ir (e.g., spend about 15 minutes answering some questions about what helps you learn better).
Se achar que foi tratado/a mal ou se tiver quaisquer problemas com este estudo, deve dizer aos seus pais que sabero o que fazer.
(Optional, depending on the nature of the study): preciso saber que o seu nome e o que contar para a minha pessoa ou fizer no sero repassados a nenhum outro adulto. Apenas uma coisa eu teria de compartilhar com outra pessoa, caso eu ache que est correndo risco por qualquer motivo ou se eu ver se machucar ou machucar outra pessoa de propsito. Vou conversar com a sua pessoa primeiro antes de falar com qualquer outra pessoa para podermos falar a respeito do que acho que aconteceu e com quem preciso dividir essas informaes. Eu gostaria de inform-lo/a que isso pode acontecer se me contar esse tipo de informao. Entende isso?
Tem quaisquer dvidas a respeito do estudo?
Gostaria de participar?
Declarao de Aceitao
Li e compreendo as informaes relacionadas a este estudo e concordo em participar do mesmo. A minha escolha a de participar do estudo, sendo que posso mudar de ideia a qualquer momento.
___Concordo ___No concordo com a minha gravao para este estudo.
Nome do/a participante em letras de forma:
Assinatura do/a participante: Data:
Nome da investigadora que obteve a aceitao:
Though children do not have the legal capacity to consent to participate in research, they should be involved in the process if they are able to assent by having a study explained to them and/or by reading a simple form about the study, and then giving their verbal choice about whether they want to participate or not.
Use non-technical language at a reading level appropriate to the participant. Check reading level at
https://support.office.com/en-us/article/Test-your-document-s-readability-85b4969e-e80a-4777-8dd3-f7fc3c8b3fd2
Explain what the participant will do in the study; include the anticipated time. If the intent is to audio-tape, video-tape, or take photographs, include that here
Complete this section for written assent.
If any audio, videotaping, or photography is taking place, you will need separate statements for each. Otherwise delete these check-off items):
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