Download App State Research Review: Outdoor Recreation Survey by John Whitehead and more Study Guides, Projects, Research Economics in PDF only on Docsity! APPALACHIAN STATE UNIVERSITY REQUEST FOR REVIEW OF HUMAN PARTICIPANTS RESEARCH Please type and submit one copy to the Chairperson, IRB, c/o Graduate Studies and Research, John E. Thomas Building. 1. Date: 2. Project Title: 3. Principal Investigators: 4. Phone: 5. E- mail address: 6. Academic Department/Unit: 7. Relationship to Appalachian State University: Faculty Staff Graduate Student Undergraduate Student 8. If student, name of faculty mentor: 9. Faculty mentor’s e- mail address: 10. This is: specific project grant proposal other 11. Funding agency/sponsor (if applicable): 12. Projected data collection dates: to 13. Have the investigators completed training in the use of humans in research? Yes No I have read Appalachian State University’s Policy and Procedures on Human Subjects Research and agree to abide them. I also agree to report and significant and relevant changes in procedures and instruments as they relate to participants to the Chairperson of the Institutional Review Board _________________ ___________ _________________ ___________ PI Date Co-investigator Date _________________ ___________ _________________ ___________ If PI is student, Faculty Mentor Date Co-investigator Date Office Use Only _____-_____ CHECKLIST FOR RESEARCH INVOLVING HUMAN PARTICIPANTS 1. Purpose of proposed research. 2. Briefly describe your subject population. Will any individuals be excluded solely on the basis of gender, race, color, or any other demographic characteristic? If so, please explain. 3. Give a brief description of your research procedures as they relate to the use of human participants. This description should include, at least, the following: • Procedures • Name and description of data gathering instrument (attach copy, if applicable) • How will the data be collected? (e.g., audio, video, written records) • Sample size • How long will the procedures take? • What, if any, relationship exists between the researcher(s) and the participants? • What, if any, relationship exists between the researcher(s) and the agencies (e.g., schools, hospitals, homes)? • Attach statement of approval from any agencies (e.g., schools, hospitals, homes) that will be involved with recruitment of participants or data collection. 4. Is deception involved? YES _____ NO _____ If yes, please describe. 5. Do the data to be collected relate to any illegal activities (e.g. drug use, abuse, assault)? YES_____ NO_____ If yes, please explain.
