Institutional Review Board (IRB)
Division of Research
Office of Animal Welfare and Research Integrity
Room 130 Dyson Building
Tallahassee, Florida 32307-3800
FAMU-IRB FORM 1
irb@famu.edu
INVOLVEMENT OF VULNERABLE ADULTS IN RESEARCH
Form Instructions:
o This Form must be completed and submitted if Question IV.A. of the IRB Application indicates Vulnerable Adults
will be involved in this research study.
o Handwritten documents will NOT be accepted.
Project Title: _______________________________________________________________________________
Principal Investigator:
Phone:
Email Address:
1. Will participants include employees of any personnel listed on this application?
No
Yes Describe the measures taken to avoid coercion & undue influence:
2. Will participants include students (e.g., enrolled in course, advisee, research team member, etc.) of any personnel
listed on this application?
No
Yes Describe the measures taken to avoid coercion & undue influence:
3. Is this a course project?
No
Yes
4. Is course credit being provided for participating in this research project?
No
Yes Describe course requirements.
Provide the following.
Instructor’s Name:
Course Title and Number:
Semester course is being offered:
5. Is extra credit provided for participating in this research project?
No
Yes Describe non research-related extra credit alternative provided for students.
NOTE: An alternative, equal in time and effort, must be offered in place of participating in the research. Describe the
alternative available for earning the extra/class credit. The description should include the length of time it will take to
complete the alternative as well as how undue influence will be prevented.
6. Describe procedures for ensuring student confidentiality and anonymity.