ALLEGHENY COLLEGE PSYCHOLOGY DEPARTMENT
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ALLEGHENY COLLEGE PSYCHOLOGY DEPARTMENT EXPERIMENTAL PARTICIPATION SIGN-UP SHEET Experimenter’s Copy: To be Returned To The Course Instructor All experimenters must complete the following form prior to recruiting students for participation from any class within the Psychology Department. It is the experimenter’s responsibility to do the following: 1. Immediately after recruitment make a copy of the sign-up sheet and give it to the instructor. 2. Return the original form including the complete participation sheet with signatures within 48 hours after data collection, unless otherwise approved by the course instructor. Adding students to the original form without the instructor’s permission is prohibited. If necessary, additional sign-up sheets may be copied and attached. Principle Experimenter(s): ___________________________________ email: _____________ ___________________________________ email: _____________ ___________________________________ email: _____________ Title Of Experiment: ___________________________________________________ ___________________________________________________ Approximate Time To Complete: _____________________ Dates & Location: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ Recruiting Instructor: ____________________________________ Course_____________ Participation Credit: _______________ Additional Details Regarding Experimental Participation: (If Necessary) Date: ______________ Time: ________ Location: __________________ Student Participants: (Please Print Your Name Clearly) Name Signature (After Completed Experiment) ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________
