{"id":66,"date":"2013-10-21T09:46:27","date_gmt":"2013-10-21T16:46:27","guid":{"rendered":"http:\/\/www.bellevuecollege.edu\/irb\/?page_id=66"},"modified":"2025-10-31T10:40:04","modified_gmt":"2025-10-31T17:40:04","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.bellevuecollege.edu\/irb\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\n<p>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.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"#genap\">General Application<\/a><\/li>\n\n\n\n<li><a href=\"#informedconsent\">Informed Consent<\/a><\/li>\n\n\n\n<li><a href=\"#researchduration\">Research Duration<\/a><\/li>\n\n\n\n<li><a href=\"#classassign\">Classroom Assignment<\/a><\/li>\n\n\n\n<li><a href=\"#supplemental\">Supplemental<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"genap\">General Application Documents<\/h2>\n\n\n\n<p><a href=\"https:\/\/bellevuecollege.co1.qualtrics.com\/jfe\/form\/SV_8qfwkokcq3C79YO\" target=\"_blank\" rel=\"noreferrer noopener\">Online Research Project Application Form<\/a><\/p>\n\n\n\n<p>Must be completed in its entirety in order for the IRB to review the proposed research. A <a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2023\/01\/IRB_Project_Application_Reference.pdf\" data-type=\"attachment\" data-id=\"466\" target=\"_blank\" rel=\"noreferrer noopener\">PDF version of the application form<\/a> is also available to prepare materials before submission.<\/p>\n\n\n\n<p><a href=\"https:\/\/bellevuecollege.co1.qualtrics.com\/jfe\/form\/SV_d5dDREiXSAf1jVk\" target=\"_blank\" rel=\"noreferrer noopener\">Research Project Closure Form<\/a><\/p>\n\n\n\n<p class=\"has-text-align-left\">Must be completed within 3 months of the cessation of research or by the research project approval expiration date, whichever comes first.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" id=\"informedconsent\" \/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"informedconsent\">Informed Consent Documents&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Elements_of_Informed_Consent.doc\" rel=\"\">Elements of Informed Consent<\/a><\/p>\n\n\n\n<p>Informed consent form must include these elements in sequential order and in language which the participants can understand.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Research_Project_Consent_Form.docx\" rel=\"\">Research Project Consent Form<\/a><\/p>\n\n\n\n<p>Form to provide information and acquire consent from research participants.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2018\/01\/Research_Project_ParentGuardian_Permission-Form-2.docx\" rel=\"\">Research Project Parent\/Guardian Permission Form<\/a><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Research_Project_Assent_Form_under18.docx\" rel=\"\">Research Project Assent Form (Under 18 years of Age)<\/a><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><em>For Classroom Assignment forms <a href=\"#classassign\">see below <\/a><\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" id=\"ResearchDuration\" \/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"researchduration\">Research Duration Documents&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Adverse_Incident_Reporting_Form.docx\" rel=\"\">Adverse Incident Reporting Form<\/a><\/p>\n\n\n\n<p>Must be completed any time a research subject experiences an adverse reaction to, or unexpected event following, an intervention posed by the research.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Annual_Review_Form.docx\" rel=\"\">Annual Review Form<\/a><\/p>\n\n\n\n<p>Must be completed each year prior to the anniversary of the initial approval date.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Research_Modification_Form.docx\" rel=\"\">Research Project Modification Form<\/a><\/p>\n\n\n\n<p>Must be completed in order to request changes of substantive details to a previously approved research proposal.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" id=\"classassign\" \/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"classassign\">Classroom Assignment Documents&nbsp;&nbsp;&nbsp;&nbsp;<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2014\/01\/DecisionTree3.pdf\" rel=\"\">Classroom Assignment Decision Tree<\/a><\/p>\n\n\n\n<p class=\"has-text-align-left\">For class assignments only, please use this decision tree to determine whether research assignments are subject to IRB review.<\/p>\n\n\n\n<p class=\"has-text-align-left\"><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Classroom_Assignment_Application_Form-2.docx\" rel=\"\">Classroom Assignment Application Form<\/a><\/p>\n\n\n\n<p>For class assignments that require IRB review, submit this form.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Classroom_Assignment_Research_Consent_Form.docx\" rel=\"\">Classroom Assignment Research Consent Form<\/a><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Research_Project_ParentGuardian_Permission-Form.docx\" rel=\"\">Class Assignment Research Parent\/Guardian Permission Form<\/a><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2016\/03\/Classroom_Assignment_Research_Assent_Form.docx\" rel=\"\">Class Assignment Research Assent Form<\/a><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" id=\"supplemental\" \/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"supplemental\">Supplemental&nbsp;<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.bellevuecollege.edu\/wp-content\/uploads\/sites\/38\/2014\/08\/HIPAAAuthorizationFormandAppendixA.docx\">HIPAA Authorization Form and Appendix A<\/a><\/p>\n\n\n\n<p>Form and guidelines for compliance to the Health Insurance Portability and Accountability Act as it relates to the protection of health information. Check <a href=\"http:\/\/privacyruleandresearch.nih.gov\/irbandprivacyrule.asp\">here<\/a> to see if this is necessary for your research proposal.<\/p>\n\n\n\n<p>If you have any questions, please contact the <a href=\"mailto:irbchair@bellevuecollege.edu\">IRB Chair<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 Informed Consent Research Duration Classroom Assignment Supplemental General Application Documents Online Research Project Application Form Must be completed <a class=\"read-more\" href=\"https:\/\/www.bellevuecollege.edu\/irb\/forms\/\">...more about Forms<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-66","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/pages\/66","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/comments?post=66"}],"version-history":[{"count":6,"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/pages\/66\/revisions"}],"predecessor-version":[{"id":539,"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/pages\/66\/revisions\/539"}],"wp:attachment":[{"href":"https:\/\/www.bellevuecollege.edu\/irb\/wp-json\/wp\/v2\/media?parent=66"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}