Responsible Conduct of Research RCR Credit Request for Supplemental Instruction

Form for Faculty to Request RCR Credit for Instruction Given in a Team, Lab, or Classroom Setting

Use this form to request credit towards your Responsible Conduct of Research (RCR) Certification for instruction in one of the RCR topics that you facilitated for your lab, research team, or class. You may request RCR credit both for yourself and for the people who were present for the instruction.

This form should be completed by the faculty member who gave the instruction.

If you have questions about completing this form, please contact the Responsible Conduct of Research Program at Research-Training@email.arizona.edu or call 520-626-8757

NOTE 1:

You may facilitate your own team-based workshops and receive credit for up to half the hours required by the funding agency, as outlined below. The reason for this restriction is to foster engagement with RCR topics in a variety of contexts and in cross-disciplinary settings.

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National Institutes of Health (NIH): NIH assumes that at least 6 different topics will be covered over the course of the 9 hours required. You can facilitate your own team-based workshops on up to 3 topics (equivalent to 4.5 hours). The remaining 4.5 hours of RCR instruction can be fulfilled by attending 3 RCR workshops .

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National Science Foundation (NSF): NSF assumes that at least 3 different topics will be covered over the course of the 5 hours required. You can facilitate your own team-based workshops on up to 2 topics (equivalent to 3 hours). The remaining 2 hours of RCR instruction can be fulfilled by attending 2 RCR workshops .

NOTE 2:

In order to guarantee that a given subject was addressed in sufficient depth, a minimum of 1 hour of total instruction must have occurred about a particular topic to request RCR credit. Instruction need not have occurred all at one time. For example, you and your team discuss your plan for managing and securing the research data your project will generate. This conversation takes place over the course of three separate 30-minute meetings. You would then use this form to claim 90 minutes of instruction on data management.

FACULTY INSTRUCTOR INFORMATION

First Name *

Last Name *

UA Email Address *

Department *

Towards which RCR certificate would you like this instruction to count? (Select all that apply) *

NSF RCR Certificate NIH RCR Certificate

DESCRIPTION OF INSTRUCTION

Please describe what was covered in your instruction by completing one section for each subject. If just one subject was covered, you only need to complete one section.

SUBJECT #1

Subject Matter #1 (please choose the subject that most closely describes what was covered) *

Nature of the instruction (check all that apply) *

One-on-One Small Group

Please describe in 2-3 sentences what specifically was covered about this subject. *

For the next field, please be as specific as possible. (For example: My lab-team and I discussed x topic for 15 minutes every week for 4 weeks during our regular meeting, from 3/3/15-3/24/15)

Date(s) on which instruction occurred *

For the next field, please enter the total amount of time spent on the subject. However, note that in order to ensure that a variety of RCR subjects are addressed, no more than 90 minutes of instruction on any given subject may count towards the RCR certificate.

Total duration of instruction on subject matter #1 *

Complete the next field if you are requesting RCR credit for those who were present during your instruction.

Please enter the names of those who were present for the instruction. *

For the file upload section, please provide a digital copy of any slides and/or case studies used during the instruction.

File Upload:

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SUBJECT #2 (complete only if a second subject was addressed)

Subject Matter #2 (please choose the subject that most closely matches what was covered)

Nature of the instruction (check all that apply)

One-on-One Small Group

Please describe in 2-3 sentences what specifically was covered about this subject.

For the next field, please be as specific as possible. (For example: My lab-team and I discussed x topic for 15 minutes every week for 4 weeks during our regular meeting, from 3/3/15-3/24/15)

Date(s) on which instruction occurred

For the next field, please enter the total amount of time spent on the subject. However, note that in order to ensure that a variety of RCR subjects are addressed, no more than 90 minutes of instruction on any given subject may count towards the RCR certificate.

Total duration of instruction on subject matter #2

Complete the next field if you are requesting RCR credit for those who were present during your instruction.

Please enter the names of those who were present for the instruction. *

For the file upload section, please provide a digital copy of any slides and/or case studies used during the instruction.

File Upload:

Browse Files

SUBJECT #3 (complete only if a third subject was addressed)

Subject Matter #3 (please choose the subject that most closely matches what was covered)

Nature of the instruction (check all that apply)

One-on-One Small Group

Please describe in 2-3 sentences what specifically was covered about this subject.

For the next field, please be as specific as possible. (For example: My lab-team and I discussed x topic for 15 minutes every week for 4 weeks during our regular meeting, from 3/3/15-3/24/15)

Date(s) on which instruction occurred

For the next field, please enter the total amount of time spent on the subject. However, note that in order to ensure that a variety of RCR subjects are addressed, no more than 90 minutes of instruction on any given subject may count towards the RCR certificate.

Total duration of instruction on subject matter #3

Complete the next field if you are requesting RCR credit for those who were present during your instruction.

Please enter the names of those who were present for the instruction. *

For the file upload section, please provide a digital copy of any slides and/or case studies used during the instruction.

File Upload:

Browse Files