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SUSTAINABLE ENERGY LICENSE PLATE SURVEY

CONSENT FORM

 

You are invited to participate in a research project conducted by Garrett Raymond, an undergraduate student in the School of Economics at the University of Maine. Garrett is advised by
Dr. Sharon Klein, a faculty member in the School of Economics at the University of Maine. This research project is funded by the Margaret Chase Smith Policy Center. You must be a Maine resident and at least 18 years old to participate.

 

The State of Maine currently gives drivers the option to select a specialty license plate when registering their passenger vehicle. Registering with a specialty license plate initially costs $20 more than the base registration fee. An additional fee of $15 is paid upon each annual renewal. Each specialty license plate features a unique design and supports a unique cause. Proceeds raised through the sale of a specialty license plate are donated to the cause that the license plate represents. The primary goal of this survey is to assess how Maine residents feel about the idea of Maine offering a specialty license plate that supports energy sustainability (including renewable energy, energy efficiency and energy conservation).

 

What Will You Be Asked to Do?

If you agree to participate, you will be asked in an online survey to answer questions about the possibility of a sustainability license plate being offered in Maine.  The survey is estimated to take approximately 10 minutes to complete. All survey questions are optional. You can skip any questions you wish and stop the survey at any time.
 

Risks

Except for your time, there are no risks to you from participating in this survey.

 

Benefits

By participating in this survey, you will have the opportunity to share your opinion about an important topic. Survey responses will help researchers determine if Maine should offer an energy sustainability license plate and how funds from such a plate would be best utilized. 

 

Confidentiality

This survey is anonymous. The survey contains one optional question that asks for your email address. Email addresses will not be connected to answers to other survey questions. Email addresses will be treated with professional confidence and never reported in published materials or shared with anyone outside of the research team.  Survey data will be protected with software that provides additional security, and kept on a secure computer and in a password-protected web-based survey software. Only Garrett Raymond and Dr. Klein will have access to the raw survey data. The list of email addresses will be destroyed within 5 years of when data collection is complete; approximately March 2021. 

 

Voluntary
Participation is voluntary. You may stop the survey at any time and skip any questions you do not wish to answer.  Online survey submission implies consent to participate (please click “Agree” at the end of this consent form to proceed).

 

Contact Information

If you have any questions about this study, please contact me at 207-446-2420 or garrett.t.raymond@maine.edu.  You may also contact my faculty sponsor, Dr. Sharon Klein, at 207-581-3174 or sharon.klein@maine.edu.  If you have any questions about your rights as a research participant, please contact Gayle Jones, Assistant to the University of Maine’s Protection of Human Subjects Review Board, at 581-1498 (or e-mail gayle.jones@umit.maine.edu).


 

 

I have read the consent form and give my permission to use my survey responses in the manner specified within the consent form,