Trauma Research Study Page ContentTrauma Research StudyBoys Town National Research Hospital is seeking children and adolescents who have experienced a traumatic event to participate in research studies. Studies take place at Boys Town National Research Hospital at 139th and Pacific Streets.The study may include questionnaires, brain imaging, providing saliva samples and playing computer games. Participants will be compensated for time up to $50 per visit.Your child may qualify if: Your child is between 14 – 17 years old, Is medically healthy, Has been exposed to a traumatic event, such as an accident, exposure to violence or the sudden loss of a loved oneAND Has experienced changes in behavior following the traumatic event, including problems with attention, trouble sleeping, avoiding things that remind them of the traumatic event, or being very worried about personal safetyTo sign up, please fill out the form below, or call (531) 355- 1220. Volunteer Information Your Name* Name of Child Volunteer Child Volunteer Date of Birth Address Information Address Address Line 2 City State State AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming Zip Code Contact Information Phone* Email Address Additional Information Child Volunteer Gender Male Female *By checking this box, I agree to have my name and/or my children’s names added to the Boys Town National Research Hospital volunteer database. I cannot agree on behalf of any other adults in my family 19 years or older. I understand that I may refuse to participate in any study and that I may remove my name (or my children’s names) from the database at any time. There is no penalty for non-participation or withdrawal. My refusal will not affect in any way the services I receive now or in the future from Boys Town Hospital or any associated clinics. Thank you for your interest in the Boys Town National Research Hospital Research Center and participating in research studies. We will review your information and contact you as soon as possible. We apologize, but an error has occured during processing of this form. Please try again later.