Thesis/dissertation Research Submission - York University
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1Form TD1: Thesis/Dissertation Research Submission
(Please print clearly or type)
Students must complete the top portion of this form and deliver it along with copies of completed
appropriate documents (as indicated below) to their program office.
Student_________________________________________ ID# ________________
Program _________________________________Degree__________Date ___________
Title of Research Proposal _______________________________________________________
_____________________________________________________________________________
Type of research
Documents to submit
Please check one:
Program will forward the following to the Office of the Dean, Graduate Studies, 230 York Lanes
No human participants
TD1 form
Proposal
TD 4 form (if involves animals or biohazards) + HPRC Approval Certificate
Human participants, minimum
TD1 form
risk, with written consent
Proposal
TD2 form (original + 1 copy)
Human participants, minimum
Informed consent documents (written or verbal script) (original + 1 copy)
risk, with verbal consent
TD3 form
TCPS Tutorial Certificate dated within last 2 years
Human participants, funded by
TD1 form
faculty research grant
TD4 form + HPRC Approval Certificate
Proposal
TCPS Tutorial Certificate dated within last 2 years
High risk or funded
TD1 form
Proposal
Completed appropriate HPRC package plus 6 copies (submit to FGS for
forwarding to HPRC)
TCPS Tutorial Certificate dated within last 2 years
TD1 = Thesis/Dissertation Research Submission Form
TD2 = York University Graduate Student Human Participants Research Protocol Form
TD3 = Informed Consent Document Checklist
TD4 = Statement of Relationship between Proposal and an Existing HPRC Approved Project
Graduate Program Director Recommendation:
I recommend to the Faculty of Graduate Studies approval of the proposal for the above student. The Supervisory
Committee has reviewed the Research Proposal and has recommended it be submitted for approval.
Supervisory Committee
Member of York Graduate
Date
Supervisory Committee Approval
Program in
(Please print/type)
(Please sign or attach e-mail indicating
(list program relevant to
(If additional members are on the
this supervision; See FGS Appointment
approval of proposal)
committee, please attach listing)
list )
Supervisor:
Member:
Member:
Member:
A TCPS tutorial certificate dated within the past 2 years must be attached.
___________________________________________
_______________________
Graduate Program Director Signature
Date
_______________________________________
_______________________
Associate Dean, FGS Signature
Date
TD1 Form Effective February 2008
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