Research Participant Recruitment Form
Researcher/Primary Investigator Name:
*
First Name
Last Name
Contact Email Address:
*
Email
University/Institution Affiliation:
*
Affiliation
School/Individual NLN Member Number:
*
For help, please visit https://members.nln.org/MyAccount
Protection of Human Subjects Approval Date:
*
-
Month
-
Day
Year
Date
Title of study:
*
One sentence description of study:
*
Inclusion criteria:
*
(i.e., who will qualify as a participant)
Website for interested individuals:
(if available)
Brief Summary of Study Goals and How the Research Advances Nursing Education:
*
Summary
Submit
Should be Empty: