You must submit a protocol and consent form, as well as supporting
documentation for your research project. This section contains templates
of all the forms you may need to submit, and descriptions of when
you need to submit them.
| Protocol
Approval Form |
| Protocol
Approval Form |
All
research protocols submitted to the Office for the Protection
of Human Subjects must use this form, signed by your advisor
and the chair of your department or a designated colleague if
the chair is not available. Two separate faculty signatures
are required here. Download in [PDF]
and [Word] |
| |
|
| Protocol
Template |
|
| Protocol |
All
research protocols submitted to the Office for the Protection
of Human Subjects must follow this protocol format. Example
in [PDF]
and [Word] |
| |
|
| Informed
Consent/Assent Templates |
| Informed
Consent |
|
All
research protocols submitted to the Office for the Protection
of Human Subjects must follow this protocol format. Example
in [PDF]
and [Word] |
| Parental
Permission |
|
Use
this when your subjects are under the age of 18. If your subjects
are between the ages of 8-18, you will also need a Minor Assent
Form. View examples in [PDF]
and [Word]
NOTE:
Before downloading this form, read the Guidelines
for Minor Assent. |
| Minor
Assent to Participate in Research |
|
Use
this when your subjects are between the ages of 8 and 18.
Read the Guidelines
for Obtaining Minor Assent which include samples.
You will also need to supply a Parental Permission to Participate
in Research with this form. |
| Implied
Consent for Surveys |
|
Use
this when you are conducting a non-sensitive survey of non-vulnerable
adults. Example in [PDF]
and [Word] |
| Verbal
Consent Form |
|
You
might use this when conducting phone interviews. The subject
will not sign this form. You will read it aloud to the subject.
Example in [PDF]
and [Word] |
| Witness/Translator
Consents Form |
|
Use
this form for subjects who do not speak or read English (the
alternative, and preferred method, is to translate an Informed
Consent form into the subjects' native language). You will read
it aloud to the subject and the witness/translator will verify
that the subject understands. Example in [PDF]
and [Word] |
| Focus
Group Consent Form |
|
Add
this paragraph under “Risks” in the informed consent
when you are conducting research where subjects will be involved
in group discussions or focus groups. Example in [PDF]
and [Word] |
| |
|
|
| Recruiting |
| Permission
to Recruit / Conduct Research |
|
If
you are recruiting subjects through a teacher, department,
organization or agency, or if you are conducting research
in the classroom, or at a business, organization or agency,
provide the IRB office with a letter of permission to recruit
and/or conduct research. Please make sure the letters are
signed and on the organization’s letterhead, if possible.
Emailed versions are accepted on a case-by case basis. Example
in
[PDF]
and [Word].
|
| Recruiting
Script |
|
Example in [PDF]
and [Word] |
| |
|
|
| Related
Documents |
| Photo
Release |
|
Use
only the elements that apply to your research. Example in [PDF]
and [Word] |
| Video
Release |
|
Use
only the elements that apply to your research. Example in [PDF]
and [Word] |
| Questionnaire |
|
|
| |
|
|
| Renewing
/ Modifying Research |
| Renewal
Form |
|
Please
answer all questions. We do require a brief description of your
research up to this point. [PDF]
and [Word] |
| Modifications
Form |
|
Please
answer all questions. [PDF]
and [Word] |
| |
|
|
| Completion
of Research |
| Completion
Form |
|
Fill out and email this form when you have completed your research.
Example in [PDF]
and [Word] |
| Adverse
Events & Protocol Deviation/Violation |
| Adverse
Events Report Form |
|
Serious
and Significant adverse events must be reported to the Office
as soon as possible for the protection of the participant, but
within at least 5 working days using the Serious/Significant
Adverse Event Report Form, available in [PDF]
and [Word]. |
| Deviation
Report Form |
|
Deviations from the approved protocol that have already occurred
and breaches of scientific integrity and ethics on the part
of the researchers should be reported on the Deviation/Violation
Report form, available in [PDF]
or [Word]. |
