Penn State College of the Liberal Arts

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Families Interested in Research STudies (FIRSt)

Thank you for your interest in signing up for the FIRSt database.
Please provide the information requested. All information will be kept confidential.

Your Information:

No Mother's Name

Mother's First Name:

Mother's Middle Name:

Mother's Maiden Name:

Mother's Last Name:

No Father's Name

Father's First Name:

Father's Middle Name:

Father's Last Name:

Mailing Address:

Town/City:

State:

Zip:

Phone (Primary): Please use the following example format for this question: (555) 555-5555

Your E-Mail Address:

Phone (Secondary): Please use the following example format for this question: (555) 555-5555

Flyer - School packet or posting - Specify school here:

Other - Specify here:

Please enter your child's or children's information below.
If you have more than five children or if you need additional entry space, please submit a second form. Once you have entered all your children, click the Submit button below.

1 - Child's First Name:

1 - Child's Middle Name:

1 - Child's Last Name:

1 - Date of Birth:

Year / Month / Day

1 - Gender:

Boy
Girl

2 - Child's FirstName:

2 - Child's Middle Name:

2 - Child's Last Name:

2 - Date of Birth:

Year / Month / Day

2 - Gender:

Boy
Girl

3 - Child's First Name:

3 - Child's Middle Name:

3 - Child's Last Name:

3 - Date of Birth:

Year / Month / Day

3 - Gender:

Boy
Girl

4 - Child's First Name:

4 - Child's Middle Name:

4 - Child's Last Name:

4 - Date of Birth:

Year / Month / Day

4 - Gender:

Boy
Girl

5 - Child's First Name:

5 - Child's Middle Name:

5 - Child's Last Name:

5 - Date of Birth:

Year / Month / Day

5 - Gender:

Boy
Girl

Many families find that participating in research is interesting; gives insight into their children's development; and provides a sense of having contributed to important advances in knowledge. Some research projects also provide financial compensation to participants.

If you are the legal parent or guardian of a child between newborn and 18 years of age, or are expecting a child soon, and are interested in registering your family for the FIRSt database. You will be contacted when a researcher is interested in adding you to a project.

Questions

Questions about the FIRSt database and this webpage should be directed to FIRStFamilies@psu.edu.

General questions about research at Penn State should be directed to The Vice President for Research.

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Sign Up

Families Interested in Research STudies (FIRSt)

Your Information:

Please enter your child's or children's information below. If you have more than five children or if you need additional entry space, please submit a second form. Once you have entered all your children, click the Submit button below.

Please enter your child's or children's information below.
If you have more than five children or if you need additional entry space, please submit a second form. Once you have entered all your children, click the Submit button below.