Doctoral Student Ethics Application Form

Doctoral Student Ethics Application Form

Anyone conducting research in which the research involves human participants or the use of data collected from human participants, is required to gain ethical approval before starting. This includes preliminary and pilot studies. Please answer all relevant questions in simple terms that can be understood by a lay person.
Section 1 – Project details
Name*

First NameLast Name
Email*
example@example.com
Project Title*
Lead Advisor*
Co-Advisor*
Intended research start date.*
Intended research finish date.*
Country or countries field work will be conducted in*
Has this project been considered by an external Research Ethics Committee? If so, attach approval in Section 10*

YesNo
Section 2 - Research methods summary
Check all that apply*

InterviewsFocus GroupsQuestionnairesAction ResearchObservationLiterature ReviewControlled trial/other intervention studyUse of personal recordsSystematic review (if only, go to section 5)Secondary data analysis (go to section 6)Other, give details:Other
Please provide an overview of the project, focusing on your methodology. This should include some or all of the following: purpose of the research, aims, main research questions, research design, participants, sampling, data collection (including justifications for methods chosen and description of topics/questions to be asked), reporting and dissemination. Please focus on your methodology; the theory, policy, or literary background of your work can be provided in an attached document (i.e. a full research proposal or case for support document). Minimum 150 words required.
Section 3 – Research participants
Check all that applies*

Ages 1-12Ages 13-18AdultsUnknown (specify)Adults (specify)No participants
Section 4 - Security-sensitive material
Will your project consider or encounter security-sensitive material?*

YesNo
Will you be visiting websites associated with extreme or terrorist organisations?*

YesNo
Will you be storing or transmitting any materials that could be interpreted as promoting or endorsing terrorist acts?*

YesNo
Section 5 – Systematic reviews of research
Will you be analyzing any secondary data?*

YesNo
Will you be collecting any new data from participants*

YesNo
If yes, provide further details in Section 8: Ethical Issues. If your methods do not involve engagement with participants (e.g. systematic review, literature review) and if you have answered No to both questions, please go to Section 8 Attachments.
Section 5: Systematic review of research
Section 6 - Secondary data analysis (only complete if applicable)
Name of dataset/s
Owner of dataset/s:
Are the data in the public domain?

YesNo
If no, do you have the owner’s permission or license?

YesNo
Are the data special category personal data (i.e. personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation)?

YesNo
Will you be conducting your analysis within the remit it was originally collected for?

YesNo*
If no, was consent gained from participants for subsequent/future analysis?

YesNo*
If no, was data collected prior to ethics approval process?

YesNo*
Give further details in Section 8: Ethics Issues. If secondary analysis is only method used and no answers with asterisks are checked off, go to Section 9 Attachments.
Section 7 – Data Storage and Security
Please ensure that you include all hard and electronic data when completing this section. Give further details in Section 8 Ethical Issues for all responses with an asterisk
Data subjects - Who will the data be collected from?
What data will be collected? Please provide details of the type of personal data to be collected
Is the data anonymized?

YesNo*
Do you plan to anonymize the data?

Yes*No
Do you plan to use individual level data?

Yes*No
Do you plan to pseudonymize the data?

Yes*No
Disclosure – Who will the results of your project be disclosed to?
Disclosure – Will personal data be disclosed as part of your project?
Data storage – Please provide details on how and where the data will be stored i.e. network, encrypted USB stick, encrypted laptop** etc.
How long will the data and records be kept for and in what format?
Will personal data be processed or be sent outside your country? (If yes, please confirm that there are adequate levels of protections in compliance and state what these arrangements are)
Will data be archived for use by other researchers? (If yes, please provide details.)
If personal data is used as part of your project, describe what measures you have in place to ensure that the data is only used for the research purpose e.g. pseudonymisation and short retention period of data’.
Section 8 – Ethical Issues
Please state clearly all ethical issues which may arise in the course of this research and how will they be addressed.

Examples: Methods, Sampling, Recruitment, Gatekeepers, Informed consent, Potentially vulnerable participants, Safeguarding/child protection, Sensitive topics, International research, Risks to participants and/or researchers, Confidentiality/AnonymityDisclosures/limits to confidentiality, Data storage and security both during and after the research (including transfer, sharing, encryption, protection), Reporting, Dissemination and use of findings,

Minimum 150 words required.
Please confirm that the processing of the data is not likely to cause substantial damage or distress to an individual.*

Yes
Section 9: Additional information
Additional information you wish considered:
Section 10 – Attachments
If applicable, please attach information sheets, consent forms, external ethics approval and other materials to be used to inform potential participants about the research in support of your ethics application and list them below.
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Disclosures
This information is correct to the best of my knowledge. This is a full description of the ethical issues that may arise in the course of this project, and I have read, understood and will abide by the chosen set of guidelines.
Date

MonthDayYear
Date
Signature*

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Please verify that you are human*
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Doctoral Student Ethics Application Form

Section 1 – Project details

Section 2 - Research methods summary

Section 3 – Research participants

Section 4 - Security-sensitive material

Section 5 – Systematic reviews of research

Section 5: Systematic review of research

Section 6 - Secondary data analysis (only complete if applicable)

Section 7 – Data Storage and Security

Section 8 – Ethical Issues

Section 9: Additional information

Section 10 – Attachments