Complete form and return to:
Office of Research & Sponsored Projects
Mandeville Hall, University of West Georgia
Responsible Conduct of Research Training Certification
The National Science Foundation (NSF) requires that all undergraduate, graduate, and post-doctoral students
involved with a NSF-sponsored research project complete the Responsible Conduct of Research training.
The National Institutes of Health (NIH) requires all trainees, fellows, participants, and scholars receiving support
through the programs listed below, must receive instruction in Responsible Conduct of Research.
D43, D71, F05,
F30, F31, F32, F33, F34, F37, F38, K01, K02, K05, K07, K08, K12, K18, K22, K23, K24, K25, K26, K30, K99/R00, KL1, KL2, R25,
R36, T15, T32, T34, T35, T36, T37, T90/R90, TL1, TU2, and U2R.
If you have individuals on your sponsored study, check that option and fill out the information below about your
study and return this signed form to the Office of Research & Sponsored Projects along with documentation of
training and/or participation.
Yes. I do have individuals involved in my NSF NIH
(circle one) sponsored research study.
No. I do not have any individuals involved in my NSF NIH
(circle one) sponsored research study.
Provide the information below:
PI Name:
Study Title:
NSF/NIH Award Number:
UWG Account Number:
(20000-xxxxxxx-xxxxx-xxxxx-xxx_54)
P
I Department:
Names of students, trainees,
fellows, participants, and
scholars.
I
certify that the individuals funded by this NSF/NIH study have completed the required RCR training and the
appropriate documentation is attached.
S
ignature of PI Date
November 2014 (v.1)