Application For Review Of Research Involving Human Subjects Page 3
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4lines for all Co-Principal Investigators, collaborating and student investigators,
faculty advisor(s), department head of the Principal Investigator, and the Chair of
the Departmental Review Committee. The following information should be typed
verbatim, with added categories where needed:
Principal Investigator:
Signature: ____________________________ Date: _________________
Co-Principal Investigator
Signature:_____________________________Date:__________________
Student Advisor (if any):
Signature: ___________________________ Date: __________________
XII. DEPARTMENT REVIEW AND APPROVAL
The
application
described
above
has
been
reviewed
by
the
IRB
departmental review committee and has been approved. The DRC further
recommends that this application be reviewed as:
Expedited Review -- Category(s):
OR
Full IRB Review Chair, DRC:
Signature:_______________________________Date________________
Department Head:
Signature:_______________________________Date:________________
Protocol sent to Research Compliance Services for final approval on (Date) :
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