FINAL REPORT FOR RESEARCH
Upon completion of your research project, fill out this form and submit one electronic copy to HSRB@hendrix.edu AND one signed
paper copy (with original signatures) to the mailbox of the HSRB Co-Chair (Dr. Lindsay Kennedy, DWR 140).
(if student research):
(If the research was not completed as planned, please explain. Use extra pages, if
Did you receive Research Funds?
utside financial support (e.g.,
grant money)?(If YES, name the funding source.)
Projected number of participants as approved by HSRB:
Did any participant suffer any unanticipated or serious
adverse event? (If YES, explain on separate sheet and attach.)
I understand I received HSRB approval for this project and time-frame. If I want to continue this project
or a new project, I must reapply and receive HSRB approval again.
Data was collected from:
Total number of participants from whom data was collected:
Before beginning this form, please make sure you are using the most recent version of Adobe Acrobat and can save your entries.
Was your research an NIH-funded clinical trial?
If YES, please submit confirmation of results reporting)