III. University Approvals – Regulations of the Federal Government demand
University critique of every research design that in any way requests/requires
information from or cooperation of human subjects or involves laboratory
animals. If human subjects are to be sources of data, one or more informed-
consent form(s) may be required as addenda to the research design.
Are human subjects required in this research? ____Yes ____No
If "Yes," the Principal Investigator (PI; responsible for the overall research
project) must provide the Institutional Review Board (IRB) number and sign to
indicate that the IRB has approved the research design and the informed-consent
form(s):
_________________________ __________________________________
IRB # Signature
Are laboratory animals required in this research? ____Yes ____No
If "Yes," the PI must provide the Animal Care Committee (ACC) authorization
number and sign to indicate that the ACC has approved the research design:
_________________________ __________________________________
ACC# Signature
The student must sign here to indicate completion of this section and of this
proposal/prospectus as a whole:
_______________________________________
Student Signature
IV. Major-Field Approval – The mentor and the department chairperson or major-
field director are responsible for critical reviews of this proposal/prospectus. Both
mentor and chairperson/director must sign to indicate full approval. In addition to
the mentor, the other two “readers” must sign this form on the designated lines.
Comments, if any, may be made by the mentor, readers, or the chairperson/
director on separate, attached pages. NOTE: This section may NOT be
completed (signed) before completion of Section III.
_____________________________________ ________________
Mentor Date
_____________________________________ ________________
Reader Date
_____________________________________ ________________
Reader Date
__________________________________________________ ______________________
Chairperson/Director Date