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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Dear BSW & MSW students</span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D">:</span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">We are conducting a research study on
</span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D">“</span><i><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Particular Dimensions of Spirituality as Related to Dimensions of Empathy</span></i><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">”
and you have been asked to be a part of this important research. </span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">(Complete the Study with the link and you will be signed up for the $20 Wal-Mart gift certificate).<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">It should take less than 10
<span style="color:black">minutes of your time and is very important to social work research</span>. Link below:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:14.0pt;font-family:"Times New Roman","serif";color:#0000CC;background:aqua;mso-highlight:aqua"><a href="https://urldefense.proofpoint.com/v2/url?u=http-3A__ucf.qualtrics.com_jfe_form_SV-5F9G48DQXxfotttFb&d=DwMFAg&c=oqyuZuih6ykib6aKiBq22_bich4AVfYGoLertJN0bEc&r=8U0toxBb_TTvBYaCIjGSXA&m=ZSYej5Os3EF01Y_PRtnjTxRtEs8EPcBRxTyz18t_Z8c&s=KAMR_QmGNlbVUO9W7MXrcyJQfCuJUvjtGhHXSZBpXzo&e=" target="_blank"><span style="color:#0000CC">http://ucf.qualtrics.com/jfe/form/SV_9G48DQXxfotttFb</span></a></span></b><b><span style="font-size:14.0pt;font-family:"Times New Roman","serif";color:#0000CC"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Thank you for your time.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Please contact Benjamin May if you have any questions:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Benjamin May, PhD., Assistant Professor<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><a href="mailto:Benjamin.may@tamuc.edu" target="_blank">Benjamin.may@tamuc.edu</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">903-886-5512</span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div class="MsoNormal" align="center" style="text-align:center"><span style="color:#1F497D">
<hr size="2" width="100%" align="center">
</span></div>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:13.0pt;font-family:"Times New Roman","serif";color:black">Information about Being in a Research Study</span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:13.0pt;font-family:"Times New Roman","serif";color:black">Texas A&M University-Commerce</span><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Particular Dimensions of Spirituality as Related to Dimensions of Empathy: A Study of 2 Separate Schools of Social
Work in Florida and Texas <o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Description of the Study and Your Part in It</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Benjamin May is inviting you to take part in a research study. Benjamin May is an Assistant Professor at Texas A&M University-Commerce. The purpose of this
research is to compare the scored survey of Spiritualism dimensions when compared to scored survey of Empathy dimensions for BSW and MSW students in the School of Social Work.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Your part in the study will be to follow the link below to a Qualtrics website so you can fill in demographic information and fill out (score) the 3 surveys
related to Spiritualism and Empathy. You will be given a ID number and will not have to use your name to log in to the Qualtrics website.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">It will take you about 25 minutes to complete the expected duration of your participation in the study.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Risks and Discomforts</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">There will be minimal risks, no more than that expected in “daily life.” You will be given an ID number to login to the Qualtrics website and complete the
study so your name will not be used for your confidentiality. You are not expected to complete the study if you do not wish to participate.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Possible Benefits</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">We do not know of any way you would benefit directly from taking part in this study. However, this research may help us to understand how levels of BSW and
MSW students scored spiritualism as it relates to scored levels of empathy. .<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Incentives</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">By participating in the study your ID number will be entered in a random drawing by all participants to receive one (1) $20 gift certificate to any Wal-Mart
store. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Protection of Privacy and Confidentiality</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">You will be assigned an ID number to login to the Qualtrics website in order to keep your confidentiality of records and not identifying your participant in
the study. We will do everything we can to protect your privacy and confidentiality. We will not tell anybody outside of the research team that you were in this study or what information we collected about you in particular.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">The data will be stored on the Qualtrics website and then when downloaded the information will be stored in Benjamin May’s office in a locked cabinet for the
duration of the study and after 3 years the data will be destroyed by Benjamin May. Only the research team of Benjamin May and Linda Openshaw (Co-Investigator) will have access to all data to ensure confidentiality.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Choosing to Be in the Study</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">You do not have to be in this study. You may choose not to take part and you may choose to stop taking part at any time. Participation is voluntary. Refusal
to participate or withdraw at any time will not involve any penalty or loss of benefits, to which the subject is otherwise entitled. You will not be punished in any way if you decide not to be in the study or to stop taking part in the study. If you decide
not to take part or to stop taking part in this study, it will not affect your grade in any way.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Contact Information</span></b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">If you have any questions or concerns about this study or if any problems arise, please contact the researcher at:
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Dr. Benjamin May<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">School of Social Work<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Texas A&M University-Commerce
<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">803-886-5512<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><a href="mailto:Benjamin.may@tamuc.edu">Benjamin.may@tamuc.edu</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Co-Investigator, MSW Director at:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Dr. Linda Openshaw<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">School of Social Work<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Texas A&M University-Commerce<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">903-468-6095<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><a href="mailto:Linda.openshaw@tamuc.edu">Linda.openshaw@tamuc.edu</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">If you have any questions or concerns about your rights in this research study, please contact the IRB Chair at
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Dr. Tara Tietjen-Smith<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Chair, Institutional Review Board (IRB)<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Department of Health & Human Performance<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Texas A&M University-Commerce<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Commerce, TX 75429-3011<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">(903) - 886 - 5545<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"><a href="mailto:IRB@tamuc.edu" target="_blank">IRB@tamuc.edu</a>
<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="page-break-after:avoid"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:12.0pt;font-family:"Times New Roman","serif";color:black">Please print a copy of this form to keep for your records.<o:p></o:p></span></b></p>
<p class="MsoNormal"><o:p> </o:p></p>
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