UNIVERSITY OF THE WESTERN CAPE PERMISSION TO CONDUCT RESEARCH
UWC STAFF AND STUDENTS
Please complete the form below if you are a current member of staff and/or student at UWC. Ensure details are captured correctly, as any errors will result in a failed application.
STEP 1: APPLICANT DETAILS
STUDENT/STAFF NUMBER OF APPLICANT
*
NAME OF APPLICANT
*
First Name
Last Name
TITLE OF APPLICANT
*
Please Select
MR
MS
MRS
MX
DR
PROF
ADV
OTHER
EMAIL OF APPLICANT
*
Please use your official UWC email
PROGRAMME TYPE
*
Please Select
Honours
Masters
Doctoral
Other
FACULTY
*
Please Select
Arts and Humanities
Community and Health Sciences
Dentistry
Economic and Management Sciences
Education
Law
Natural Sciences
Other
DEPARTMENT
*
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STEP 2: SUPERVISOR DETAILS
To be completed if the application is made by a student
NAME OF SUPERVISOR
First Name
Last Name
TITLE OF SUPERVISOR
Please Select
MR
MS
MRS
MX
DR
PROF
ADV
OTHER
EMAIL OF SUPERVISOR
Please use the official UWC email
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STEP 3: NATURE OF RESEARCH AND ETHICS DETAILS
RESEARCH TOPIC
*
RELEVANT DATA SOURCES (Requesting permission to conduct research involving)
*
Students
Staff
University data/information
Other
APPROACH (How will you be conducting the research)
*
Questionnaire
Survey
Interview
Other
EXPIRATION DATE OF ETHICS APPROVAL (as stated on your ethics clearance approval letter). If you are still awaiting ethics clearance please select a date that is one year from the date of your ethics clearance applciation
*
-
Day
-
Month
Year
Date
INSTITUTION ETHICS CLEARNCE HAS BEEN OBTAINED FROM (or being applied to)
*
ETHICS CLEARANCE NUMBER/REFERENCE (as it appears on your ethics clearance letter). If you are still awaiting ethics clearance please type in your ethics clearance application number or TBC if you have no number as yet
*
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STEP 4: DOCUMENT UPLOAD
Documents should be less than 5MB and preferably in pdf format.
RESEARCH PROPOSAL
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
ETHICS APPROVAL LETTER (or ethics application form if permission is required before ethics clearmce can be obtained)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
SUPPORTING DOCUMENTS (if any*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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STEP 5: TERMS AND CONDITIONS
I am familiar with the University of the Western Cape’s Policy on Research Ethics and agree to adhere to it in order to protect the rights of UWC staff and students. • I am familiar with the University of the Western Cape’s Research and Innovation policy and agree to adhere to it in order to protect the rights of UWC staff and students • I am familiar with the University of the Western Cape’s Intellectual Property Policy and agree to adhere to it in order to protect the rights of UWC staff and students. • I am familiar with the Protection of Private Information Act, no 4 of 2013 and agree to adhere to in order to protect the rights of UWC staff and students. • I am familiar with the Promotion of Access to Information Act 2 of 2000 and agree to adhere to in order to protect the rights of UWC staff and students
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