CM-SS13 Research Volunteer Template

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[hr][small][i]Weyland-Yutani Corporation
Official Weyland-Yutani Document

[b]Human Research Experiment[/b][/i][/small]
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[h3]Experiment Description[/h3][small][small][b]Facility:[/b] USS Almayer [field]
[b]Date:[/b] [field] 2186[/small]

[b]Purpose of Study[/b]
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[b]Procedure of Study[/b]
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[b]Upon completion, the volunteer will receive the following:[/b]
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[h3]Experiment Results[/h3][small][field][/small]

[hr][h3]Volunteer information[/h3][small][b]Full name:[/b] [field]
[b]Gender:[/b] [field]
[b]Age:[/b] [field]
[b]Occupation:[/b] [field]
[b]Rank (if any):[/b] [field]
[b]Notes:[/b]
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[hr][small][i][b]Right to refuse or withdraw[/b]
The volunteer retains all rights to refuse or withdraw from the experiment at any time.

[b]Right to ask questions and report concerns[/b]
The volunteer retains all rights to ask questions about the research before, during and after the experiment. The volunteer may ask and report any problems or concerns about the experiment.

[b]Consent[/b]
The volunteer's signature below indicates that they have decided to participate in this experiment of their own free will, and that they have read and understood the information provided above.
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[hr][small]Researcher signature:
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Volunteer signature:
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[i]Weyland-Yutani Corp.[/i][/small]