Institutional Review Board (IRB) Office of Regulatory & Research Compliance MSC 309 - (Phone) 437-3850 (Fax) 437-3855 orrc@albany.edu Version 11.01.13 CHILDREN (MINORS UNDER AGE 18) AS PARTICIPANTS (DO NOT LEAVE ANY QUESTIONS BLANK, INDICATE N/A WHEN NECESSARY) 1. Describe the age ranges, gender, and school grades of children: (If more than one group will be studied, please provide information for each (e.g. control group or learner group): Are any of the children wards of the state? * Yes No *If yes, please explain: 2. Specify where participants will be recruited from (schools, community centers, support groups, etc.) and describe your relationship with those being recruited and with the organization from which they will be recruited: 3. For research to be conducted in a group setting (e.g. classroom, social or educational group) provide the following details: Is the entire group expected to participate? Describe procedures that will be followed for those who will not be participating in the research for any reason: This is required for all research conducted in a group setting and should at a minimum, address those who do not wish to participate in the research: Yes No 4. Describe the procedures you will use to obtain child assent (formal assent is required from all children over the age of 7). At a minimum you must include details on who will discuss the study with children, who will collect the signed assent forms, how they will be returned to the researcher, how they will be linked with the parent consents, etc. Please be as specific as possible. 5. Describe the procedures you will use to obtain consent from parents (consent is required from parents for all minors). At a minimum you must include details on who will contact the parents, who will collect the signed forms, how they will be returned to the researcher, how they will be linked with the students, etc. Please be as specific as possible. 1 6. Identify all interventions, tests, questionnaires, interviews, surveys, etc. that will be used with your participants and indicate which are considered to be standard measure and those which are considered to be experimental (novel or new application from which they were originally intended). You must attach copies of all materials to be used with participants. 7. Include additional information, data or comments that you feel are necessary to be considered when evaluating your proposal involving children. 2