Research Oversight Committee - Application for Study Consideration

Research Oversight Committee - Application for Study Consideration
Please type information and identify all abbreviations used. All questions must be answered. Incomplete forms will not be accepted. Please type 'N/A' if a question does not apply.
Submitter Information
Name of Person Submitting Request*

First NameLast Name
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Phone Number*
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Email Address*
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Submission Awareness & Review
Please upload the required documents listed below: Accepted formats [PDF, DOCX, XLSX, etc.]
- Research Protocol
- Good Clinical Practice CITI Training Certificate
- CV
Research Protocol*

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Good Clinical Practice CITI Training Certificate*

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CV*

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Please upload any other documents listed below: Accepted formats [PDF, DOCX, XLSX, etc.]
- IRB Application or Approval Letter
- Informed Consent Form (ICF)
- HIPAA Authorization (if applicable)
- Data Collection Tools (Survey’s, guides, questionnaires)
- Recruitment Materials
Other Uploads

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How did you learn about the submission process?*
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Contact Information for questions related to completion of this form:

ROC Email: research@dchsystem.com

Ashley McFerrin
Research Oversight Committee Coordinator
(205) 343-8331
ROC Email
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Submitter Information