Please enter responses for all of the following fields.
If there are 5 researchers or more, please enter the remaining researchers' information below in the following format:
Name, Institutional Affiliation(s), Email Address, Mailing Address.
Use a full return after each entry. (See example below.)
Note, while IRB/HSC approval is not a requirement for submission of a research request, it is a requirement of approval by DEC, so please be aware that the research committee cannot make a final recommendation until they have received a copy of the IRB/HSC approval letter.