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2015
October
E
Employment status and place of residence analysis
Employment status and place of residence analysis
0%
Exit Survey
Participant Consent Form or Child Assent Form Participation in a Research Project South Dakota State University Brookings, SD 57007 Department of Sociology
Project Director Austin Kreutner and Halley Anderson Phone No. 605-688-4132 E-mail:
[email protected]
Date 10/6/15 Please read (listen to) the following information: 1. This is an invitation for you as a student to participate in a research project under the direction of Jacob Jantzer.
2. The project is entitled to study how employment status affects current place of residence in terms of gender and years of schooling attended.
3. The purpose of the project is to study the affects of the two variables.
4. If you consent to participate, you will be involved in the following process which will take about 10 minutes of your time: Surveys/questionnaires will take place in and around the campus area.
5. Participation in this project is voluntary. You have the right to withdraw at any time without penalty (will not affect your grades). If you have any questions, you may contact the project director at the number listed above.
6. There are no known risks to your participation in the study.
7. There are no direct benefits
8. There is no compensation money, extra credit, etc. for your participation in this study. We as the study group will find participants and will travel to accompany their needs.
9. Your responses are strictly confidential. When the data and analysis are presented, you will not be linked to the data by your name, title or any other identifying item. As a research participant, I have read the above, have had any questions answered, and agree to participate in the research project. I will receive a copy of this form for my information. If you have any questions regarding this study you may contact the Project Director. If you have questions regarding your rights as a participant, you can contact the SDSU Research Compliance Coordinator at (605) 688-6975 or
[email protected]
.
You can also contact Austin Kreutner at
[email protected]
, Halley Anderson at
[email protected]
or Jacob Jantzer at
[email protected]
if you have an further questions.
SDSU IRB approval number: IRB-1510001-EXM
I Agree to participate
How many years have you lived at your current residence while attending South Dakota State University?
Is the home you live in:
Family owned housing
Personally owned housing
Off campus rented housing
On campus housing
How is your housing paid for?
I personally pay
Student loans/grants
Scholarships
Parents/guardians
Other
Which of the following best describes your current primary employment situation?
Employed full-time
Employed part-time
Unemployed, seeking employment
Unemployed, not seeking employment
Self-employment
Working for no wage (Farming, caregivers, family business)
Other
If you have a job, how far do you drive to work one way each day?
Less than 5 miles
6 to 10
11 to 25
Over 26
What is your sex?
Male
Female
Based on accumulated credits, what is your current level of schooling?
Freshman
Sophomore
Junior
Senior
After taking this survey please email:
[email protected]
within this email please include this password: sdsujacks verifying you have completed our survey in order to receive credit for SONA.
Comments/Suggestions:
After taking this survey please email:
[email protected]
within this email please include this phrase: sdsujacks verifying you have completed our survey in order to receive credit for SONA.
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