Fillable Full Review Application (Henry Ford College)

Fill Online, Printable, Fillable, Blank Full Review Application (Henry Ford College) Form

Use Fill to complete blank online HENRY FORD COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Full Review Application (Henry Ford College)

On average this form takes 8 minutes to complete

The Full Review Application (Henry Ford College) form is 3 pages long and contains:

  • 0 signatures
  • 9 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Henry Ford College

BROWSE HENRY FORD COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Full Review Application
Institutional Review Board
Pg. 1
If another IRB is involved in your project, you may attach copies of the IRB application and of the IRB
approval letter from the participating institution in lieu of completing this form.
Title of Research Project _______________________________________________________________
Contact
Information
Principal Investigator/
Project Director
Co-Investigator/
Student Investigator
Co-Investigator/
Student Investigator
Name
Department
Phone Ext.
Email
Anticipated Funding Source (if applicable):
Projected Duration of Research: months Projected Starting Date:
Other organizations and/or agencies, if any, involved in the study:
Please return this form with:
• A memo that briefly answers the questions outlined on the next page.
• Grant application, if applicable.
• All brochures, advertisements, or recruitment materials to be given to subjects.
• A completed copy of the Consent Form Checklist
• A copy of the Consent Form that will be provided to the participants.
I. Project Information:
A. Project Activity Status:
New Project
Periodic Review of Continuing Project
Revision to Previously Approved Project
B. This project involves Henry Ford College students
Yes No
C. Human Subjects from the following populations will be involved in this study
Minors High School Students
Mentally Disabled Prisoners
Elderly None of the above
D. Total number of subjects to be studied:
Clear Form
Full Review Application
Institutional Review Board
Pg. 2
Attach a document containing brief answers to the following questions.
II. Protocol:
What is the rationale or purpose of the study?
Why are you interested in using HFC as a basis in your research?
Who will be the research subjects?
Where will the research take place?
How much time will be required of each subject?
How will you recruit participants?
What methods will you use to gather your data?
Does the study require class time? (Note: using class time is discouraged)
Do you have an internal contact who is already willing to comply?
Attach copies of any recruitment materials and research instruments (exams, surveys,
questionnaires, etc.).
III. Precautions:
How will you ensure that each subject’s participation is voluntary?
If you plan to offer inducement in return for participation, what would that be?
IV. Confidentiality of data:
What methods will you use to ensure the privacy of the participants and confidentiality of data
obtained, including plans for publication, disposition or destruction of data, etc.?
What are your plans for distribution, dissemination, or publication of the data?
V. Consent
What are the potential risks to the participants?
What steps have you taken to minimize risk to the participants?
Attach copies of all consent forms to be signed by the subjects and/or any statements to be
read to the subject.
Responsibilities of the Principal Investigator:
• Any additions or changes in procedures in the project will be submitted to the IRB for written
approval prior to these changes being implemented
• Any problems connected with the use of human subjects once the project has begun must be
communicated to the IRB Chair
• The principal investigator is responsible for retaining informed consent documents for a period
of three years after the project.
• The principal investigator should include with the IRB submission a confirmation that the
research has been approved by the HFC chairperson(s) and Dean(s) of the academic area(s)
where the research will be conducted.
Full Review Application
Institutional Review Board
Pg. 3
• The principal investigator shall notify the HFC IRB chairperson when the research proposal
has been approved or modified by another institution’s IRB.
• The principal investigator will provide a copy of the final research results to the chairperson of
HFC’s IRB.
Principal Investigator Signature: Date:
Co-Investigator/Student Signature (if applicable): Date:
Dean/Director Signature Date
Vice President Signature (if applicable) Date
Signature of IRB Committee Chair:
Date:
IRB Chair: Check one
Approved
Approved with conditions
Requires Periodic Review
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Full Review Application (Henry Ford College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 September 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document