Institutional Review Board (IRB) - Forms

 


Please allow 1 - 2 weeks for processing, review and approval.
Review and approval process is subject to change.

IRB Submission Process Checklist– Step by Step of required documents and information
IRB Proposal Form – this is a blank form for the Principal Investigator to complete
IRB Research Completion Form - Research is complete and no further collection of data
Request for Amendment or Withdrawal Form - should you need to make any changes during your research or withdraw your proposal
IRB Continuing of Research Application Form - if you wish to continue collecting data after the IRB Approval Expiration date
Adverse Event Form - if an unexpected event occurs during your research, please complete and submit this form

 

EXAMPLES OF CONSENT FORMS- required
documentation based on the 
IRB Submission Process Checklist 

Consent Form Requirements – example of consent form and highlights required areas of the consent form
Hard Copy Survey Sample Consent Form – this is an example of a consent form
Online Survey Sample Consent Form – this is an example of a consent form
Assent Form Sample Requirements - this is an example of an assent form 

 

EXAMPLE OF CITI CERTIFICATE AND INSTRUCTIONS -required
documentation based on the IRB Submission Process Checklist 

Accessing the Basic CITI Program - Instructions
CITI Program Registration - Instructions for Students 
CITI Sample Report - sample of the CITI Report form in its format. Must show expiration date.

 

 

ADDITIONAL REFERENCES – not required.
More information regarding Human Subject Research from HHS.gov

Human Subject Regulations Decision Charts
The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research