You must have JavaScript enabled to use this form. Type of Review Requested - Select -New ProjectModification of Previously Approved ProjectExtension of Previously Approved Project Date of Last IRB Approval Project Title Investigators Name of Corresponding Investigator (CI) CI Email CI Phone Is the CI a faculty member or student? - Select -FacultyStudent Who is your faculty sponsor? List the names of all other investigators Include their Institutional Affiliations if other than Doane University Source of Funding - Select -Within college (e.g. departmental budget, internal college grant, etc.) External source (e.g., National Institute of Health, National Science Foundation, etc.) Name of Grant Date of Grant Approval Grant Application? Requesting Expedited Review - Select -YesNo Expedited review of this proposal may be appropriate if the research participants (RPs) are exposed to research involving no more than minimal risk, or if you are making minor modifications to a previously approved study. Purpose The purpose statement should be approximately 4 to 8 sentences. Procedures Describe the procedures for identifying and contacting research participants. If the pool of RPs is deliberately restricted to a specific population (e.g., only women, only those with a specific disability, only those of a specific ethnicity, etc.), explain why the restriction is appropriate. Specify an approximate number of participants sought. Describe the procedure for gaining informed consent of participants. Attach any informed consent documents that may be used. If informed consent will not be obtained (as may be the case in some natural settings), explain why not. Informed Consent Documents? Describe the procedures of the study. Provide enough detail so that a person outside the research team could make an informed judgment regarding the ethical nature of the study. a) What will participants be asked to do and how long will the procedure take? b) Will any deception be used in the study? If yes, please describe the nature of the deception and why you believe it is necessary. c) Will there be a post-study debriefing offered to participants? If not, explain why not. Attach copies of any questionnaires or documents that will be provided to the participants.? Describe the methods for protecting participant confidentiality. a) Who will have access to individual participant responses? b) Will any identifying information be collected during the study, or reported in future publications or presentations of the data? Such information may include medical history, DNA records, psychological or physical diagnoses, or any other individuating information that could potentially be damaging to the participant if it was disclosed to anyone outside the project. Risk Analysis Describe any physical, psychological, or financial risks to the research participants. How will these risks be minimized? Benefits Describe potential benefits of the study for either the participants or society as a whole.
