Subject: Research Survey

You are invited to participate in a research study conducted by Stephen Roach, a graduate student in the College Student Affairs program at Eastern Illinois University. You are being asked to participate because you a currently enrolled undergraduate student. The purpose of study is to investigate the relationship between self-efficacy and academic success. The survey should take no more than 5 minutes to complete. Your participation is completely voluntary as you may withdraw at any time without penalty. The information you provide for this research will be kept confidential as the data will be averaged and reported as an aggregate. Aggregated data from this research project will be shared with some administrators on campus to enrich some programs and services. Depending on the way in which you answer certain questions, you may be asked to submit your email address if you wish to be considered for participation in a 30-45 minute interview, for a chance to win a $25 Amazon gift card. If you have additional questions, you may contact Dr. Catherine Polydore at 217-581-7237, or at cpolydore@eiu.edu.

If you so desired, please print and retain a copy of this consent form for your records.
I have read and understand the above consent form, I certify that I am 18 years old or older and, by clicking the submit button to enter the survey, I indicate my willingness to voluntarily take part in the study.