Applications are reviewed on a rolling basis. Be on the lookout for an email from us about your application status! Please contact us if you have any questions.
There is no cost to participate in the camp.
2023 iEngage Camper Application
INDIANA UNIVERSITY INFORMED CONSENT STATEMENT FOR RESEARCH
iEngage Summer Institute: Civic Learning Study
IRB #16856
Stephanie Serriere, Professor of Social Studies Education (IUPUC)
You are being asked for your child to participate in a research study. Scientists do research to answer important questions that might help change or improve the way we do things in the future. This consent form will give you information about the study to help you decide whether you want to participate. Please read this form, and ask any questions you have, before agreeing to be in the study.
All research is voluntary. You can choose for your child not to take part in this study. If you decide they will participate, you can change your mind later and remove them from the study at any time. Your child will not be penalized or lose any benefits if you or your child decide not to participate or choose to leave the study later.
The purpose of this study is to learn how youth understand citizenship concepts through the use of online civic games and co-designing civic improvement projects. This study will be conducted during the iEngage Summer Civics Institute in which your child is already participating. Your child does not have to be in this research to participate in iEngage camp.
We are asking you if you want to be in this study because your child is enrolled (or currently being enrolled) as a camper at the iEngage camp. The study is being conducted by Stephanie Serriere at Indiana University-Purdue University Columbus (IUPUC). It is funded by a local funder, to be announced later.
If you agree for your child to be in the study, you will do the following things If you agree to let your child be in this study, we will ask your child to:
- Take a pre-test and post-test that will measure your child’s civic knowledge and dispositions. Pre-tests and post-tests will take approximately 20 minutes each.
- Participate in brief interviews (no more than 10 minutes) during the camp and a group interview during the end of the camp, lasting no more than 45 minutes.
Researchers will conduct observations to explore youths’ interactions with the program and record their dialogue with teachers and fellow students. Researchers will also use the student work (artifacts) generated during the study for analysis purposes. Artifacts may include action civic projects, posters, and websites. All youth will participate in the iEngage Summer Civics Institute but the researcher will only have access to the student data from students whose parents/guardians authorize permission by signing this form. Your child will also give permission for themselves to be part of the study.
Before agreeing to participate, please consider the risks and potential benefits of taking part in this study. Your child can skip any interview or survey questions they do not want to answer.
There is a risk someone outside the study team could get access to your research information from this study. Information about how we will reduce this possibility is below.
We don’t think you or your child will have any personal benefits from taking part in this study, but we hope to learn things that will help teacher educators and teachers better understand how to promote engaged citizenship in youth.
Neither you nor your child will be paid for participating in this study. There is no cost to participate in the study.
We will protect your child’s information and make every effort to keep yours and their personal information confidential, but we cannot guarantee absolute confidentiality. No information which could identify your child will be shared in publications about this study. We will seek to reduce this possibility by keeping all study information (including audio files and transcriptions) in password protected folders or locked spaces that only members of the research team can access.
Your child’s personal information may be shared outside the research study if required by law. We also may need to share your research records with other groups for quality assurance or data analysis. These groups include the Indiana University Institutional Review Board or its designees, and state or federal agencies who may need to access the research records (as allowed by law). However, this research is not state or federally funded.
Information collected in this study may be used for other research studies or shared with other researchers for future research. If this happens, information that could identify your child, your child’s name and other identifiers, will be removed before any information is shared. Since identifying information will be removed, we will not ask for your additional consent.
If you have questions about the study or encounter a problem with the research, contact the researcher, Stephanie Serriere, (812) 348-7245 or at scayot@iu.edu
For questions about your rights as a research participant, to discuss problems, complaints, or concerns about a research study, or to obtain information or to offer input, please contact the IU Human Research Protection Program office at (800) 696-2949 or at irb@iu.edu
If you decide your child can participate in this study, you can change your mind and decide to take your child out of the study at any time in the future. If you decide to withdraw your child from the study, simply email the researcher, call her, or tell her in person at the camp that you would like to withdraw your child from the study and there will be no risks for withdrawing.
ASSUMPTION OF RISK AND RELEASE FROM LIABILITY AGREEMENT
I, the undersigned, give permission for my Child to participate in iEngage: A Summer Civics Institute, offered on behalf of The Board of Trustees of Indiana University (“IU”), at the IUPUC Learning Center on June 26-30, 2023 (“Program”).
In consideration for my Child’s participation, I, on behalf of my Child, agree to the following:
- I understand activities for the Program may include, but are not limited to, the following: physical activities (e.g., running, walking, climbing stairs); physical exertion such as lifting or moving heavy objects; spending extended periods of time outdoors being exposed to the elements (sun, wind, rain); consumption of food and/or beverage; and the following additional activities: attending a one-week summer camp for youth in grades 5-9 during which students will work in classrooms, interact with community guest speakers, and play outdoors.
- I understand that as part of my Child’s participation in the Program there are dangers, hazards, and inherent risks to which my Child may be exposed, including, but not limited to, adverse weather conditions, and exposure to theft and other criminal activity; sprains, broken bones, cuts, bruises, entrapment, temporary or permanent disability, and/or death; allergic reactions to or choking on food and drink items; other physical, mental, and emotional injury; other risks and dangers, whether known or unknown nor reasonably foreseeable; and the following additional risks: damage to clothing or personal property, fire, or other emergency.
- I fully understand the scope of the activities and the risks involved. I voluntarily accept and assume all risks of injury, loss of life, or damage to property arising out of my Child’s participation in the Program.
- I hereby release and fully discharge IU, including its officers, employees, and agents, from any and all claims or causes of action, including all liability for damage to personal property or personal injury which may result from my Child’s participation in the Program, that may be brought by me or my Child or for any injury or loss that my Child may suffer while participating in the Event to the fullest extent permitted by law.
- I further release, indemnify, and hold harmless IU, including its officers, employees, and agents, from and against any and all liability, actions, debts, claims, and demands of every kind whatsoever, including, but not limited to, any claim for Third Party negligence and/or any present or future claim, loss, or liability for which my Child may be liable to any other person or to IU that arises out of my Child’s participation in the Program.
- In the event of an accident or serious illness, I hereby authorize representatives of IU to obtain medical treatment and transport for my Child on my behalf. I waive my right to receive informed consent prior to such transportation or treatment. I hereby hold harmless and agree to indemnify IU from any claims, causes of action, damages and/or liabilities, arising out of or resulting from the medical treatment or transport. I further agree to accept full responsibility for any and all expenses, including medical expenses that may derive from any injuries to my Child that may occur during his/her participation in the Program.
- I authorize IU, acting through its agents, employees, or representatives, to take photograph, video, and/or audio recordings of my Child, including my name, image, likeness, performance, and/or voice (“Recordings”). I also grant IU an unlimited right to reproduce, use, exhibit, display, perform, broadcast, create derivative works from, and distribute the Recordings in any manner or media now existing or hereafter developed, in perpetuity, throughout the world. I agree that the Recordings may be used by IU, including its assigns and transferees, for any purpose, including but not limited to, marketing, advertising, publicity, or other promotional purposes. I agree that IU will have final editorial authority over the use of the Recordings, and I waive any right to inspect or approve of any future use of the Recordings. I acknowledge that I or my Child are not expecting to receive compensation for participating in the Recordings or for any future use of the Recordings. I release and fully discharge IU, and its employees, agents, and representatives, from any claim, damages, or liability arising from or related to my Child’s participation in the Recordings or IU’s future use of the Recordings.
- This Agreement shall be governed by and construed under the laws of Indiana. Notwithstanding any other agreement that I have signed related to this Program that purports to establish the venue for any litigation arising from this Program, I agree that I will file no action against The Trustees of Indiana University or its officers, employees, and agents, whether based on this Agreement or in any way otherwise connected to this Program, in any court other than the Circuit Court of Marion County, Indiana.
- I understand and agree to all of the terms of this Agreement. I understand that I am giving up substantial rights (including my right to sue) and acknowledge that I am willingly signing this document. My signature on this document is intended to bind not only myself and my Child, but also the successors, heirs, representatives, administrators, and assigns of myself and my Child.
Version 05102021