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Modified Informed Consent Form

What is the purpose of this research study?
The purpose of this study is to see the microaggression American Assistant Language Teachers experience in Japan, how they affect relationships, job satisfaction, and how Assistant Language Teachers respond.   

What am I being asked to do?
You are being asked to  complete the online survey.  If you are interested, you can request to be contacted for an interview.

How long will this study last?
The online survey will take roughly 45 minutes.  Those doing an interview can anticipate the interview to last between 30 minutes to 1 hour.  Interviewees will be chosen randomly from among those who agree to be contacted for an interview.

Will I receive compensation for my time and inconvenience if I choose to participate in this study?
For those doing the interview, four people will be randomly selected to receive a 25 dollar gift card to Amazon.

How will my confidentiality be protected?
All information will be kept confidential to the extent allowed by applicable State and Federal law.  No names will be used in the study, and all demographic information will be given a random number to avoid any details that could reveal identity.  Transcripts of interviews will be stored in a locked computer file.  

Will I know the results of the study?
At the conclusion of the study you will have the right to request feedback about the results. Contact the faculty advisor, Dr. Myria Allen at or the Principal Researcher, Stephanie Hupp at You will receive a copy of this form for your files.

You may also contact the University of Arkansas Research Compliance office listed below if you have questions about your rights as a participant, or to discuss any concerns about, to Ro Windwalker, the CIP officer.


Ro Windwalker, CIP
Institutional Review Board Coordinator
Research Compliance - MLKG
University of Arkansas
109 MLKG Building
Fayetteville, AR  72701-1201

I have read the above statement and have been able to ask questions and express concerns, which have been satisfactorily responded to by the investigator. I understand the purpose of the study as well as the potential benefits and risks that are involved. I understand that participation is voluntary. I understand that significant new findings developed during this research will be shared with the participants. I understand no rights have been waived by my completion of this survey.  I can request a copy of this consent form if I would like.