Dordt University IRB Proposal Submission Form

Instructions for Completion:
Please answer each question thoroughly. Use the fillable fields provided below each question. If a question does not apply to your study, indicate 'Not Applicable'. Upload any required documents as specified.

Section 1: Study Overview

1.1 What is the purpose of your study?

1.2 What research question or hypothesis are you exploring?

1.3 Why is this study important, and what do you hope to learn?

Section 2: Study Procedures

2.1 How will you recruit participants? How many participants will you recruit and what will you do if you do not reach that number?

2.2 What will participants be asked to do? Explain the study procedure (methods) from start to finish. Include specific materials that participants will interact with.

2.3 What is the expected time commitment for participants?

2.4 Are there any inclusion or exclusion criteria?

2.5 What surveys or questionnaires will you use? (Submit exact copies as separate documents).

2.6 How will you ensure privacy and confidentiality of participant data?

2.7 What data security measures will be in place?

2.8 List any identifiers that will be collected during the study (e.g., name, date of birth, recordings, etc.) and how long identifiers will be stored.

2.9 How long will data be stored and is there possibility it would be used for a future study?

Section 3: Risk Assessment

3.0 Will your study involve deception?

3.1 If yes, what is the rationale and how will you debrief participants?

3.2 List any foreseeable risks related to the subjects’ participation.

3.3 What steps will you take to minimize physical, social, or emotional risks?

3.4 How will you protect against breaches of confidentiality or privacy?

Section 4: Consent and Participant Materials

4.1 Have you included informed consent form(s)?

4.4 Have you included recruiting materials (emails, scripts, etc.), surveys, assessments, and debriefing documents? Please provide links to any products that participants will be consuming.

Section 5: Additional Considerations

5.1 Will your study involve participants under 18 or individuals unable to consent?

5.2 If yes, have you included parent/guardian consent and participant assent forms?

5.3 Are you recruiting from a specific group at Dordt or outside the university?

5.4 If yes, have you obtained approval letters or forms? Include a copy with your submission.

5.5 Will HIPAA protections apply?

5.6 If yes, have you included evidence of HIPAA training, authorization, and protections?

5.7 Will data collection occur outside the U.S.?

5.8 If yes, have you considered local context and cultural sensitivities?

5.9 How will you address potential barriers to conducting research in that setting?