Research Participant Solicitation Request Form

Thank you for your interest in working with the National Federation of the Blind Jernigan Institute to recruit participants for your study. Please complete the following questions to tell us a bit about your study and what the experience will be like for participants. This information will help readers decide if they would like to participate in the study. We will review this information for completeness and will let you know if more detail is needed to inform the potential participants about the study.

If you are in the earlier stages of research design and have not yet figured out how to answer these questions, or if you have other questions about research or the priorities of the NFBJI, please send an email to [email protected].

Note: Distribution of research participant recruitment notices by the National Federation of the Blind is for informational purposes only and does not constitute an endorsement of the proposed research.

Required field(s) are indicated by an *.

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: *