FORM D
CERTIFICATION OF COMPLETION OF STUDENT CLASS PROJECTS
Instructor’s Assurance: By submitting this protocol, I attest that I am aware of the applicable principles,
policies, regulations, and laws governing the protection of human subjects in research and that I have
ensured that all student projects adhered to these principles. I also certify that I will maintain these
forms for no less than three years and I understand that the Chair of the IRB may periodically audit my
records.
All forms should be submitted by email to irb@southern.edu.
Class Name and Number:
_________________________________________________________________
________________________________________________ ____________________________
Instructor Signature: Date
For IRB Use Only:
Tracking Number ___________
Date Submitted ___________
Title of Class: _________________________________________________________________________
Instructor _____________________________________________________________________________
Semester ______________________________________________________________________________
Date Approved ______________
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