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______EXPERIMENT#______

ASU DEPARTMENT OF PSYCHOLOGY APPLICATION TO USE SUBJECTS FROM THE PSY 101 SUBJECT POOL

HS# or IRB ID (Assigned to your project by HUMAN SUBJECTS IRB)

Title (As it will appear on Sona Systems site)

List restrictions for student participation:

Principle investigator/faculty sponsor

Grad student(s) conducting this study ASURITE ID (user name)

This study is in support of my (Check one) Thesis Dissertation Sponsored Research Faculty Research Honors Procedure (Please complete consent form you will post – this may be on the back side of this form)

(Number of subjects requested) Males: Females: Total credit(s) offered per subject: Total credit expected:

Proposed start date: Proposed completion date:

Continuation of Experiment # I will be recruiting subjects using: Fall Spring Summer Sona Systems and/or Telephone This study will run in: One part Two parts Three parts

This research project will be run in: Room # Day(s) Time

Room # Day(s) Time

Please list names, ASURITE user names and e-mail addresses of undergraduate researchers working with this project, especially if he or she will post this experiment under his or her name. Name ASURITE E-mail

Name ASURITE E-mail

Feedback/Debriefing (attach one typed page). Include: 1) the problem being investigated, 2) the importance of the research and how it fits into Psychology, and 3) a discussion of your hypothesis or one central hypothesis if a very complex design (if deception was used this may be discussed here). The purpose of debriefing is to provide students with educational value from their research participation. Please make your statement clear and informative. 9/8/2014 DEPARTMENT OF PSYCHOLOGY PSY 101 RESEARCH PARTICIPATION APPOINTMENT SHEET

CREDIT(S) OFFERED:______LOCATION: ______EXPERIMENT #______EXPERIMENT TITLE:______PLEASE READ THE FOLLOWING BEFORE YOU SIGN UP FOR THIS EXPERIMENT: DESCRIPTION OF PROCEDURE:

This experiment will be run in the following location(s) on campus at the following dates and times: DAY DATE TIME(S) BUILDING & ROOM

HOW TO SIGN UP: Log on to http://asu.sona-systems.com. Enter login and password information. Click on link for the Research Participation Memo and read the memo. Follow instructions in the memo to sign up for the date and time of a study you want to participate. BE SURE YOU ARE ELIGIBLE FOR THIS STUDY. A confirmation and reminder will be sent to your ASU e-mail address.

9/8/2014