IRB -请求审查 - 汉尼拔-LaGrange大学-博彩网站推荐

名字*

第一个中间最后的

电子邮件*

学生解决*

街道地址地址线2 城市州/省/地区邮政编码国家

Title of Classroom Action Research Project*

顾问的名字*

顾问的邮件*

开始日期(如获批准)*

预计结束日期*

告诉我们你的项目

Use one or two sentences to answer each question below.

Summarize the nature and purpose of your research project

A. Who are the subjects and how many will be involved in the project?

B. How will you recruit/select the subjects, or how will you gain access to them?

C. For how long (number of occasions and duration) will each subject be involved in the project?

D. If the subjects are students, what is the name of the institution in which they are enrolled? (You must submit letters of approval from any/all schools involved)

E. How will you protect the subjects' confidentiality in your study?

F. What are the possible risks to the human subjects? What precautions will be taken to minimize these risks?

G. What are the anticipated benefits (individual, 机构, or societal) to be gained by completing the project?

H. How will the information derived from this activity be used? To whom will the information be distributed

I. Informed consent must be obtained from the subjects, or in the case of children under 18, 父母或法定监护人. Have you attached a copy of the Informed Consent Agreement that includes all the elements listed on the checklist accompanying this form?

是的
No

上传文件

马克斯. 文件大小:512mb.

J. 你是 obtaining from your subjects information about their private behavior, 经济地位, 性取向, 宗教信仰, 或者其他事情, 如果公开, might impair their self-esteem or reputation, or could reasonably place the subjects at risk of criminal or civil liability or be damaging to their financial standing or employability?

是的
No

If you answered 是的 to the above question, describe how you will ensure that all your data are kept secure and confidential until they are destroyed.

I certify that the statements made in this request are accurate and complete. If I receive IRB approval for this project, 我同意通知委员会, 以书面形式, of any problems or proposed procedural changes. I further agree not to proceed in the research until the problems have been resolved or the IRB has reviewed and approved the changes.*

If you agree, type your name in the box as an electronic signature.

验证码

电话

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