Vulnerable Population Research Ethics Declaration Acknowledgment Form
Vulnerable Population Research Ethics Declaration Acknowledgment Form – Please review and acknowledge your ethical responsibilities when working with vulnerable populations.
Full Name
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First Name
Last Name
Role or Position
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Research Project or Study Title
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I acknowledge that I am aware of, and agree to uphold, the following ethical responsibilities when working with vulnerable populations (please confirm each statement):
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I will treat all participants with respect, dignity, and care.
I will ensure informed consent is obtained appropriately and respectfully.
I will maintain confidentiality and privacy of all participant information.
I will report any concerns or incidents that may impact participant well-being.
I will follow all institutional protocols and ethical guidelines relevant to my role.
If you have any additional comments or concerns, please provide them below:
I hereby acknowledge that I have read and understood my ethical responsibilities regarding research involving vulnerable populations, and I agree to adhere to these responsibilities.
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Yes, I acknowledge and agree.
No, I do not acknowledge.
Signature
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: