Online Research Proposal Form

Investigator Information

Name(s):

Phone:

Email:

Have you completed the relevant CITI training?

Yes

More information on CITI training.

Are you a student?

Yes, graduate student

Yes, undergraduate student

If yes, what is the name of your faculty sponsor?

Has the faculty sponsor listed above reviewed this application?

You must have your faculty sponsor review this application prior to submission.

Yes

Project Information

Project Title

Project duration (i.e. date range(s)):

Number of research participants:

Compensation for participants:

Are you submitting this research for exempt, expedited, or full review?

Exempt

Expedited

Full review

Which category does this fall under for exempt or expedited review?

More information on exempt and expedited review.

Project Summary and Documentation

Proposal submission document:

Files must be less than 10 MB. Allowed file types: txt pdf doc docx ppt pptx xls xlsx.

Consent statement:

Files must be less than 10 MB. Allowed file types: txt pdf doc docx ppt pptx xls xlsx.

Other files:

Files must be less than 10 MB. Allowed file types: txt pdf doc docx ppt pptx xls xlsx.

Submitting this completed form to irb@dordt.edu indicates that the investigator(s) has read and understood the IRB policies as published here and agrees to abide by the ethical practices indicated. The investigator should also understand that revisions to the proposed research may be required prior to IRB approval; approval of proposed research is not guaranteed.

For student investigators, faculty sponsors must send an email to irb@dordt.edu that confirms his/her knowledge and support of the proposed research; proposals will not be reviewed until the sponsorship email has been received.