Please complete the following information for approval by the IRB Administrator. Please note the attachments that will be required for upload below before beginning the application.

Please complete the following information for approval by the IRB Administrator. Please note the attachments that will be required for upload below before beginning the application.
Should you have questions about this process or form, please contact the IRB Administrator:

Wesley Harris
Phone: 256-306-2581
Email: wesley.harris@calhoun.edu
Principal Investigator*

First NameLast Name
Study Title
College/University Affiliation
Department*
Phone Number*
E-mail
Co-PI (if applicable)
Co-PI department*
Co-PI Phone Number*
Co-PI E-mail*
FacultyCommunity MemberDoctoral StudentOther
Length of IRB Approval Requested
(maximum IRB approval is 12 months after which a renewal is required)
If requesting an exempt review, identify the qualifying categories. Click Here for an explanation of the categories.
Category 1Category 2Category 3Category 4Category 5Category 6Not requesting exempt review
If the proposed research does not qualify for exempt status, select from the following IRB review options. Click here to learn more about expedited reviews.
Requesting Expedited ReviewRequesting Full IRB review
YesNo
MinorsPrisonersFetusesPregnant WomenCognitively ImpairedOther
Please explain your vulnerable population*
YesNo
Please explain this deception or false assumptions *
YesNo
Please explain the risks*
YesNo
Please explain (revised application)*
YesNo
Please list the institutions reviewing the study*
Attachments

Please provide the following pdf attachments:
Describe the purpose of the research. Include major hypotheses and research designs.If the study is part of a larger study, briefly describe the larger study and whether it alsohas IRB approval.*

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Describe the human subjects to be used in the study and their selection criteria.Describe procedures used to ensure the selection of subjects was equitable. Please attach any letters, flyers, advertisements, etc. used to solicit potential subjects.*

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Describe research procedures and include copies of questionnaires, interview scripts and protocols, etc.*

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Describe any potential benefits or harms to the research subjects. Describe whether the study has the potential to expose the participants to stress, physical or psychological hazard, or the possibility of pain, injury, discomfort, embarrassment, worry, or anxiety.*

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Describe methods proposed to ensure confidentiality and anonymity for subjects.Include, where appropriate, any data coding systems that may be used. *

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If applicable, provide the following 1) a description of debriefing procedures to be used in cases where deception has occurred, 2) a statement describing what actions you will take should the research reveal the possibility of a medical or other potentially troubling condition.*

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Should be Empty:

Please complete the following information for approval by the IRB Administrator. Please note the attachments that will be required for upload below before beginning the application.

Attachments