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Application for the Use of Human Research Participants - Essay Example

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Application for the Use of Human Research Participants

Signed materials can be submitted by mail, fax (434-522-0506), or email (scanned document to Signed materials can also be submitted via regular mail or in person to our office: Campus North, Suite 1582. Please be sure to use the grey form fields to complete this document; do not change the format of the application. You are able to move quickly through the document by using the “Tab” key. Note: Applications with the following problems will be returned immediately for revisions: 1) Grammar/spelling/punctuation errors, 2) A lack of professionalism (lack of consistency/clarity) on the application itself or any supporting documents, 3) Incomplete applications. Failure to minimize these errors will cause delays in your processing time. II. BASIC PROTOCOL INFORMATION Protocol Title:  ?UNDERSTANDING THE EXPERIENCES OF STUDENTS WITH DISABILITIES WHO DID NOT COMPLETE HIGH SCHOOL ????  Principal Investigator (PI): Richard Warner Wieringo Professional Title: ????? School/Department: Liberty University School of Education Mailing Address: 125 Woodgate Court APT 2C, Charlottesville, VA 22901 Telephone: (434) 251-2255 LU Email: Check all that apply:  Faculty  Graduate Student  Undergraduate Student  Staff This research is for:  Class Project  Master’s Thesis  Doctoral Dissertation  Faculty Research  Other (describe): ????? Have you defended and passed your dissertation proposal?  Yes  No  N/A If no, what is your defense date? ????? Faculty Advisor: Verlyn Evans, Ed.D, Chair  School/Department: Liberty University School of Education Telephone: ????? LU Email: ????? Non-key Personnel: Name and Title: ????? School/Department: ????? Telephone: ????? LU Email: ????? Consultants: Name and Title: Dr. Russ Yocum????? School/Department: Graduate School of Education????? Telephone: (434) 592-5462????? LU Email: Liberty University Participants: Do you intend to use LU students, staff, or faculty as participants in your study? If you do not intend to use LU participants in your study, please indicate “no” and proceed to the section titled “Funding Source.” If yes, please list the department and classes you hope to enlist, and the number of participants you would like to enroll.  No  Yes ????? ????? Department Class(es) In order to process your request to use LU participants, we must ensure that you have contacted the appropriate department and gained permission to collect data from them. Please obtain the original signature of the department chair in order to verify this. Signature of Department Chair Date Funding Source: If research is funded please provide the following: Grant Name (or name of the funding source): ????? Funding Period (month/year): ????? Grant Number: ????? Anticipated start and completion dates for collecting and analyzing data: ????? III. OTHER STUDY MATERIALS AND CONSIDERATIONS Does this project call for (more detail will be required later): Use of voice, video, digital, or image recordings?  Yes  No Participant compensation?  Yes  No Advertising for participants?  Yes  No More than minimal ...Show more


IRB Application #_?_ I. APPLICATION INSTRUCTIONS To submit a protocol, complete each section of this form and email it and any accompanying materials (i.e. consent forms and instruments) to For more information on what to submit and how, please see our website at:…
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Application for the Use of Human Research Participants essay example
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