CCSNH Colleges And Programs

Supporting Documents & Sample Forms


Application Help: Supporting Docs & Sample Forms

Data collection instruments such as surveys, interview protocols, consent and recruitment flyers: You must upload the final version of all recruitment materials and data collection instruments. If interviews or focus groups will take place, an interview guide is required as part of the proposal’s supporting documentation. If data will be collected by survey or interview guide/protocol, a copy of the survey/interview guide/protocol is required as part of the proposal’s supporting documentation. Any research that involves deception requires a debriefing statement.

Sample Disclosure Statement

Ex: Salem State (PDF)

Sample Informed Consent template

Sample Informed Consent – No Physical Risks

Ex: Salem State (PDF)

Sample Informed Consent – Research with Physical Risks

Ex: Salem State (PDF)

Sample Parental Consent (.docx)

Ex: Salem State (PDF)

Sample Debriefing Statement for research involving deception

Ex: Salem State (PDF)

Debriefing Statement Example

Ex: Salem State (PDF)

Sample Letter of Agreement

Ex: Salem State (.docx)

Recruitment Flyers

Ex: Salem State (.docx)