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UNIVERSITY OF ARKANSAS FORT SMITH
Request for Course Approval of Research Projects
This approval is valid for one calendar year and is renewable.
IRB Use Only
UAFS IRB Registration No.
E-mail to:
irb@uafs.edu
Date Rec’d:
Course Name and Number:
Semester(s), Year:
FACULTY SPONSOR:
Last Name:
First Name:
Telephone Number:
E-mail:
Brief description
of the research project
(assignment).
Procedures involving
human subjects must be
submitted separately for
approval.
Limit description to 250
words.
Dates of contact with
participants
Date of first contact:
Date of last contact:
Informed consent
procedures.
Click on the box and
place an X.
Forms to include:
C
1 Signed consent form
C
2.Other method, e.g. implied consent, attach explanation
C
3. Not applicable to this project, attach explanation
Explain how the
researcher will maintain
confidentiality of data,
i.e. student generated
work, work samples,
artifacts.
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To meet criteria for
course approval, check
all that apply.
Click on the box and
place an X.
Surveys, interviews, questionnaires, and public observations are exempt if
the following conditions are met:
C
The research project is a class assignment for learning purposes only
and not designed to develop or contribute to generalizable knowledge.
C
Results of the research are not made public outside the classroom, not
published in paper or electronic format, and destroyed after submission for
grade.
C
Research procedures are no more than minimal risk.
C
Vulnerable populations are not included, (i.e. children under 18,
prisoners, persons with cognitive impairment, pregnant women).
C
Data collected cannot be linked back to the subjects.
C
No audiotaping or videotaping is involved.
C
Analysis of secondary data for which there is no identity key.
METHODS TO BE USED
Participants (anticipated demographics)
Informed Consent Form(s) (Appendix A) ……
Instruments (Appendix B)
Debriefing Form
Benefits of Participation
LIST OF APPENDICES
*(Faculty members applying for course approval must provide a copy of ethics certification.)
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