Research Participant Solicitation Request Form

Thank you for your interest in collaborating with the National Federation of the Blind to recruit participants for your study. Please complete the form below.

If you have other questions about research or the priorities of the NFBJI, please send an email to [email protected]

Your Contact Information

First Name: *

Last Name: *

Phone Number: *

Email: *

Please provide the title of the study. *

Please provide the name of the institution sponsoring the study. *

Principal Investigator (PI) or Study Leader Contact Information

Please provide contact information for the principal investigator (PI) or other study leader.

First Name: *

Last Name: *

Phone Number: *

Email: *

In a few sentences, describe the purpose of your study. What do you hope to learn from participants? *

In a few sentences, describe how your research will fit in with the research mission of the NFB. *

Please visit our webpage https://nfb.org/research for a statement of our research mission

Describe your inclusion criteria; who is eligible to participate in your study? *

In a few sentences, describe what participants will do during the study and how long you expect the study to take for each participant: *

Is compensation (e.g., payment, raffle ticket) offered to participants? *

Please provide the compensation details. - Optional

Has this study been approved by the Institutional Review Board (IRB) or other ethics group at your institution or by your instructor if it is a class project? (Please note: Internal approval is required for us to distribute your study information). *

Please provide a link or instructions for participants to enter the study if they wish *

Contact Information for Participants

Please provide contact information for participants if they have questions about the study.

First Name: *

Last Name: *

Phone Number; *

Email: *

Research Participant Solicitation Request Form

Your Contact Information

Principal Investigator (PI) or Study Leader Contact Information

Contact Information for Participants

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