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Consent for Participation in Questionnaire Research

I volunteer to participate in a research project conducted by Brittany Latronica from Gwynedd


Mercy University. I understand that the project is designed to gather information about school
counselors preparedness of meeting the needs students with autism spectrum disorder.
1. My participation in this project is voluntary. I understand that I will not be paid for my
participation. I may withdraw and discontinue participation at any time without penalty. If I
decline to participate or withdraw from the study, no one on my campus will be told.
2. I understand that most interviewees in will find the discussion interesting and thought-
provoking. If, however, I feel uncomfortable in any way during the interview session, I have the
right to decline to answer any question or to end the interview.
3. Participation involves being interviewed by researchers from Gwynedd Mercy University. The
interview will last approximately 30-45 minutes. Notes will be written during the interview.
4. I understand that the researcher will not identify me by name in any reports using information
obtained from this interview, and that my confidentiality as a participant in this study will remain
secure. Subsequent uses of records and data will be subject to standard data use policies which
protect the anonymity of individuals and institutions.
5. Faculty and administrators from my campus will neither be present at the interview nor have
access to raw notes or transcripts. This precaution will prevent my individual comments from
having any negative repercussions.
6. I understand that this research study has been reviewed and approved by the Institutional
Review Board (IRB). All research on human volunteers is reviewed by a committee that works
to protect your rights and welfare. If you have questions or concerns about your rights as a
research participant you may contact, anonymously if you wish, the Institutional Review Board
at 215-646-7300.
7. I have read and understand the explanation provided to me. I have had all my questions
answered to my satisfaction, and I voluntarily agree to participate in this study.
8. I have been given a copy of this consent form.
For further information, please contact:
Brittany Latronica Latronica.b@gmercyu.edu



Questionnaire Questions:
1. How long have you been a school counselor? Are you still practicing? What is/was the
demographic of your school?
2. Do/did you have students with Autism Spectrum Disorder on your case load of students? If so,
what is/was your involvement in providing support to the IEP team/spec. ed. team, as well as to
the students with ASD?
3. When meeting with a student with ASD, do you collaborate in the classroom or work with
students in your office? Is anyone else present, such as general or special education teachers?
4. What is often discussed during your individual sessions? During your IEP team meetings?
5. How often in a school year do/did you meet with the parents of students with ASD?
6. What is the most often used method of communication with the parents?
7. What classes have you taken during your education regarding special education? Were any of the
classes specific to ASD training?
8. Are/were there classes, seminars, or professional trainings that are offered in your school
regarding the needs of students with ASD? If so, have you attended them? If not, would you
attend if they were offered?
9. At this point in your career, do you feel prepared to meet the needs for students with autism?
10. What sage advice would you give to a new counselor in meeting the needs of students with
ASD?

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