Forms, Templates & Samples
Forms
| Applications | Download | Additional Information |
| IRB Face Page (file w/ each submission) |  |
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| IRB-1 — Protocol Application | |
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| IRB-2 — Re-Approval/Completion | |
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| IRB-5 — Request for Exemption | |
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| IRB-9 — Protocol Application for Ethnographic/Naturalistic Research | |
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| Appendix A — Personnel and Study Investigators Log/Personnel Amendment Form | |
| Supplemental Forms | Download (if applicable) | Additional Information |
| IRB-1A — Drug/Device | |
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| IRB-1B — Genetic Testing | |
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| IRB-1C — Treatment | |
| Additional Forms | Download | Additional Information |
| IRB-3 — Amendments | |
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| IRB-4 — Adverse Event/Unanticipated Event | |
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| IRB-6 — Protocol Deviation Report | |
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| Research Method Course Forms | Download | Additional Information |
| IRB-7 — Protocol Application | |
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| IRB-8 — Re-Approval / Completion | |
| IRB Reviewer Checklists | Download | Additional Information |
| IRB-1 — New Submission Protocol Application Checklist | |
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| Re-Approval/Continuing Review Checklist | |
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| Amendment Review Checklist | |
Templates
The IRB recommends the use of these Templates to help the researchers meet the legal requirements for consent. If after reviewing the templates and samples provided, you believe that the templates are inappropriate for your research, please call the IRB Office for assistance. For additional information about informed consent, see the Consent Checklist and Guidelines; Consent Process.
| Consent Form | Download | Additional Information |
| Annotated Form with Instructions and Suggested Language | |
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| Just the Form/Required Language | |
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| Consent Form Check List | |
| Information Sheet | Download | Additional Information |
| Annotated Form with Instructions and Suggested Language | |
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| Just the Form/Required Language | |
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| For Surveys | ||
| By Faculty-researcher | |
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| By Student- researcher | |
| Research Method Courses | Download | Information |
| Information Sheets | |
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| One student - one project | |
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| Multiple students – same project | |
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| Faculty Review Sheet, to aid in the review of student projects | |
| Parent/Guardian Permission Forms | Download | Additional Information |
| Parental Permission Annotated Form with Instruction and Suggested Language | |
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Just the Form/Required Language | |
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| Parent/Guardian Notification Forms | Download | Additional Information |
| Parental Notification Annotated Form with Instructions and Suggested Language | |
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| Just the Form/Required Langauge | |
| Recruitment Flyer | Download | Additional Information |
| Sample Recruitment Flyer Template (with tabs) | |
Samples
Examples of Child Assents, a recommended description of Deception for Consent Forms and an example of a Consent Form before and after the language was simplified appear below. For help with Consent Forms, come to the IRB Help sessions or call the IRB Office for an appointment. 860-486-8802 / 486-9428.
| Assents | Download | Additional Information |
| Sample 1 | |
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| Sample 2 | |