participated/your [child’s/student’s] teacher will ensure that all data is stripped of identifiers before the researcher receives it/etc.] This disclosure is made so that you can decide if this relationship will affect your willingness to allow your [child/student] to participate in this study. No action will be taken against an individual based on her or his decision to allow his or her [child/student] to participate in this study.

[Option 2: Financial Interests] The researcher has a financial interest in the outcome of this study. The researcher [Retain the applicable option.] [is a [paid/unpaid] board member of the sponsoring organization/has stock in the sponsoring organization/is listed on a patent associated with this study/has received honoraria or travel reimbursement from the sponsoring organization during the last 12 months]. This study is funded by [sponsoring organization/firm/etc.]. [Sponsoring organization/firm/etc.] is providing [equipment/etc.] for the study. This disclosure is made so that you can decide if this relationship will affect your willingness to allow your [child/student] to participate in this study.

### Is study participation voluntary?

The voluntary-participation wording is required for all research. Please review the options in red and select the appropriate options based on your study design.

Participation in this study is voluntary. Your decision whether to allow your [child/student] to participate will not affect your or [his/her/his or her] current or future relations with Liberty University [Include the name(s) of any other institution(s) associated with your study from whom you had to gain permission or IRB approval.] [or \_\_\_\_\_]. If you decide to allow your [child/student] to participate, [she/he/she or he] is free to not answer any question or withdraw at any time [Insert the following statement if you are only conducting an anonymous survey:] [prior to submitting the survey] [Delete the statement if your data collection includes additional/other procedures than an anonymous survey.] without affecting those relationships.

### What should be done if a participant wishes to withdraw from the study?

The how-to-withdraw section is required for all research. Please review the above options and select the appropriate option based on your study design.

[Option 1: Anonymous Survey Research] If you choose to withdraw your [child/student] from the study or your [child/student] chooses to withdraw, please [Retain the following statement if the survey will be online.] [have [him/her/him or her] exit the survey and close [her/his/her or his] internet browser.]—OR—[Retain the following statement if the survey will be on pen and paper.] [inform the researcher that [you/your child/student] wish[es] to discontinue [his/her/his or her] participation, and [you/your child/student] should not submit the study materials.] Your [child’s/student’s] responses will not be recorded or included in the study.

[Option 2: All Other Research] If you choose to withdraw your [child/student] from the study or your [child/student] chooses to withdraw, please contact the researcher at the email address/phone number included in the next paragraph. Should you choose to withdraw [her/him/her or him] or should your [child/student] choose to withdraw, data collected from your