Research Collaboration Request Form
Research conducted at the Moog Center or involving Moog Center staff, students, and/or families must undergo review and be approved before it may begin. The Research Review Committee meets monthly and will respond to your request following review. Thank you for your interest!
Contact Information
*
First Name
Last Name
E-mail
*
example@example.com
Affiliation and/or Title
Are you the Principal Investigator for this project?
Yes
No
Please indicate the names and affiliations of any person(s) serving as Principal Investigator and Co-Investigators for this project.
Briefly describe your project, including the Moog Center's role, the timeframe for our involvement, and any other information you would like us to consider.
*
Please indicate the reason for this request (check all that apply):
*
Interested in collaborating
Dissertation or Thesis
Subject Recruitment
Class Requirement
Capstone
Honors Project
Other (describe below)
Where will the research project take place?
*
At the Moog Center
Offsite
Other
Will Moog staff be engaged in this research? (for guidance on engagement see http://www.hhs.gov/ohrp/policy/engage08.html)
*
Yes
No
Has the Moog Center been added to your IRB as an engaged site?
Yes (if yes, please upload IRB documentation)
No (if no, please indicate if and when you plan to do so in project description)
In Process
Has your project received IRB approval?
*
Yes
No
In Process
Not applicable
Please upload IRB documentation.
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Please include any documents that you feel further describe your project (e.g., IRB documents, research protocol or proposal, consent/assent forms, recruitment documents, surveys, etc.).
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