You are being asked to provide information about yourself for a central file to be used by Monell researchers ONLY.
Monell researchers may use the information in this file to contact you about future research opportunities. In addition, the central file may be used to furnish funding agencies with basic descriptive information about participants in Monell studies (e.g., number of participants, ages, gender, etc.). You will not be identified by name in any information provided to outside agencies.
Your participation is completely voluntary and you may say no to any study team which contacts you without fear of being overlooked for future studies. You need only complete the requested information. There are no risks or costs to you, and you will not be compensated for providing the information. Further, you may withdraw your information from the file at any time by calling Monell at (267) 519-4813.
We appreciate your participation in our research and offer this as an opportunity for other research teams to recruit you for their studies. However, if during the course of a study you do not comply with the research protocol, you might not be contacted for further studies.
Neither filling this form nor being added to the database is a guarantee that you will be contacted in the future.
Every attempt will be made by Monell staff to maintain strict confidentiality for all information collected in the central file, except as may be required by court order or by law. Authorized representatives of the University of Pennsylvania and the Monell Chemical Senses Center will have access to and may copy information from the central file which may identify you by name.
If you wish further information regarding your rights as a research participant, you may contact the Director of Regulatory Affairs at the University of Pennsylvania by telephoning (215) 573-2540.