Forms

These are the forms associated with the IRB process. All forms are available in Microsoft Word or PDF format. If you do not have Microsoft Word on your computer, you can download the Word Viewer.

            

General Application Documents

Research Project Application Form

Must be completed in its entirety in order for the IRB to review the proposed research.

Research Project Closure Form

Must be completed upon the completion of previously approved research or 3 months after the expiration date of the research proposal, whichever comes first.


Informed Consent Documents      

Elements of Informed Consent

Informed consent form must include these elements in sequential order and in language which the participants can understand.

Research Project Consent Form

Form to provide information and acquire consent from research participants.

Research Project Parent/Guardian Permission Form

Form to provide information and acquire consent from research participants under the age of 18 through their parents or guardians. This form is to be used in conjunction with the Research Study Assent Form for students under 18 years of age.

Research Project Assent Form (Under 18 years of Age)

Form to provide information and acquire consent from research participants under 18. This form is to be used in conjunction with the Research Project Parent/Guardian Permission Form.

For Classroom Assignment forms see below


Research Duration Documents          

Adverse Incident Reporting Form

Must be completed any time a research subject experiences an adverse reaction to, or unexpected event following, an intervention posed by the research.

Annual Review Form

Must be completed each year prior to the anniversary of the initial approval date.

Research Project Modification Form

Must be completed in order to request changes of substantive details to a previously approved research proposal.


Classroom Assignment Documents    

Classroom Assignment Decision Tree

For class assignments only, please use this decision tree to determine whether research assignments are subject to IRB review.

Classroom Assignment Application Form

For class assignments that require IRB review, submit this form.

Classroom Assignment Research Consent Form

For class assignments that require IRB review, use this form to provide information and to acquire consent from research participants 18 years of age and older.

Class Assignment Research Parent/Guardian Permission Form

For class assignments that require IRB review, use this form to provide information and acquire consent from the parents of research participants under 18 years of age. This form is to be used in conjunction with the Class Assignment Research Assent Form.

Class Assignment Research Assent Form

For class assignments that require IRB review, use this form to provide information and acquire assent from research participants under 18 years of age. This form is to be used in conjunction with the Class Assignment Research Parent/Guardian Permission Form.


Supplemental 

HIPAA Authorization Form and Appendix A

Form and guidelines for compliance to the Health Insurance Portability and Accountability Act as it relates to the protection of health information. Check here to see if this is necessary for your research proposal.

If you have any questions, please contact the IRB Chair.