IRB Application for Human Research
York College of Pennsylvania
Name of Primary Investigator
IRB Number (for previous applications) Date of Original Application (if appropriate)
Title of Project
Names of Academic Advisors
Names of Co-Investigators (include institutional affiliations and contact information)
Email Phone Number
Please provide sufficient detail to allow readers who are not experts in your field to get a sufficient
idea of the risks your project may pose to those involved (patients, coworkers, etc.).
(1) What type of project do you wish to pursue? Check as many as apply.
(Note that the presence of a project type on this list does not warrant that such a project will
be acceptable in meeting York College's DNP Scholarly Project requirement.)
Administrative Practice Change Quality Improvement
Synthesis System Change Translational Research
(2) At what site(s) will your project be conducted? Please be as specific as possible (for
example, specify the particular hospital, department, and/or unit.) If you are affiliated with this
site, describe your title and role.