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Copyright Acknowledgment: I understand that the Emily’s Hope Prevention Curriculum material is protected by copyright and will not be reproduced, distributed, or modified without explicit permission from Emily’s Hope.

Provision of Student Demographic Information: I understand that my organization is required to provide basic student demographic information, sent via a separate and secure channel, before receiving the free student books.

Survey Administration: I understand that our teachers are required to administer a pre-curriculum survey to students before accessing the Teacher Portal and are highly requested to administer a post-curriculum survey to measure progress.

Publicity Consent: I consent to Emily’s Hope using my organization’s name and location on its website, marketing materials, donor materials, and other promotional activities.

Evidence-Based Status Acknowledgment: I acknowledge that while Emily’s Hope Prevention Curriculum is working towards obtaining evidence-based status, it is not currently recognized as such.

Invitation to Participate: You are invited to participate in a research study conducted by
Emily’s Hope Substance Use Prevention Curriculum to improve substance use disorder
understanding and prevention.
Consent for Research: By participating, you agree that data collected, including
demographic and survey responses, will be used for program quality and curriculum
effectiveness research. No identifiable individual information is collected, and all measures
will be utilized to maintain confidentiality. There are no risks in participating beyond
everyday life, and the information will be used solely for research by Emily’s Hope.
What the Study is About: The research study focuses on assessing the quality and
effectiveness of the Emily’s Hope Substance Use Prevention Curriculum.
What Will Happen if You Take Part in the Study: Teachers are invited to administer a pre-
curriculum and post-curriculum survey to students, directly related to the curriculum content.
What Are the Potential Benefits from This Study: Your participation will support the study
to determine program quality and curriculum effectiveness for substance use disorder
understanding and prevention.
How Will We Protect Your Information: All efforts will be made to keep demographic data
and survey responses confidential.
How Will My Information Be Used After the Study: The information will be used solely for
research purposes, and any published report will not include identifiable information.
How Will the Study Compensate You for Being Part of the Study: No compensation to
participants is provided.
Your Participation in This Study is Voluntary: Participation is completely voluntary, and
you have the right to withdraw at any time.
Contact Information for the Study Team and Questions: Questions regarding consent or
study can be directed to our Emily’s Hope Education Administrator, Valerie Peters:
Valerie@emilyshope.charity.