External Application for Research Requests

Greenville University IRB Application for External Research Requests
Name of Primary Researcher*
Name(s) of Any Additional Researchers
If applicable, please provide the names of additional researchers
E-mail of Primary Researcher. IRB will only communicate to the Primary Researcher's email account. *
example@gmail.com
What is your current status?*

I am a student at another institutionI am a faculty or staff member at another institutionOther
Name(s) of Institution*
Please provide the name of your institution or agency
Name(s) of Department*
E.g. Psychology or School of Education
Please provide the name of the faculty mentor or advisor over your project

First NameLast Name
Mentor email
firstname.lastname@greenville.edu
Has your mentor reviewed your research project?*

Yes, I certify that my mentor has fully reviewed and supports my project.No, my mentor has not reviewed my project.
If you are a student and your mentor has not reviewed your research project, it is not recommended to complete this application. Please take your research back to your faculty mentor. You are welcome to contact us again when your project has the approval of your advisor/mentor.
Has your local IRB approved your research project?*

Yes, I certify that my local IRB has fully reviewed and approved my project.No, my local IRB has not approved my projectN/A, I am not affiliated with an IRB.
Name of Agency or Institution*
Name of Project*
Has your project been reviewed by an IRB?*
Please check all applicable items in Parts A and B and provide all relevant information in Part C. Attach a complete research proposal that addresses the items outlined in Part D.
Part A
Check all areas that apply to your research project*

1. This research project will involve only adults over the age of 18 years.2. The research does not involve prisoners, fetuses, pregnant women, the seriously ill, or mentally or cognitively compromised adults as subjects.3. The research does not involve the collection or recording of behavior which, if known outside the research, could reasonably place the subjects at risk of criminal or civil liability or be damaging to the subject's financial standing, employability, or reputation.4. The research does not involve the collection of information regarding sensitive aspects of the subjects’ behavior (e.g., drug or alcohol use, illegal conduct, sexual behavior).5. The research does not involve deception.6. The procedures of this research are generally free of foreseeable risks to the subject.
Part B
Check all areas that apply to your project*

1. The research will be conducted in established or commonly accepted educational settings and will involve normal educational practices (e.g., research on regular and special education instructional strategies, research on instructional techniques, curricula, or classroom management methods).2. The research will involve the use of educational tests (cognitive, diagnostic, aptitude, achievement), survey procedures, interview procedures or observation of public behavior. Information will be recorded anonymously (i.e., so that the human subject cannot be identified, directly or through identifiers linked to the subject).3. The research will involve the collection or study of existing data, documents, records, pathological specimens, or diagnostic specimens. These sources are either publicly available or the information will be recorded anonymously (i.e., in such a manner that subjects cannot be identified, directly or through identifiers linked to the subject).4. The research (including demonstration projects) will be conducted by or subject to the approval of federal department or agency heads, and is designed to study, evaluate, or otherwise examine: a. public benefit or service programs (e.g., social security, welfare, etc.); b. procedures for obtaining benefits or services under those programs; c. possible changes in or alternatives to those programs or procedures; d. possible changes in methods or levels of payment for benefits or services under those programs.5. The research involves taste or food quality evaluations or consumer acceptance studies and the tested products are wholesome foods without additives or foods which contain additives at or below levels found to be safe by the FDA or approved by the EPA of the Food Safety and Inspection Service of the US Department of Agriculture.
Part C
Please provide a brief description of your study including: your hypotheses, your desired participants, your recruitment strategy, and any incentives for participation.*
Describe how your procedures will ensure anonymity or confidentiality of participants (including plans for storing/disposing of data records).*
Part D

Please provide the information that is requested below.
Please attach the following documents for your research project: Originating IRB Protocol, Approved Consent Form(s), Recruitment Material(s), Survey materials or other data collection instruments*

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What is the intended time frame of research activities? Include hoped for start date and end date of research activity, and duration of entire project.*
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Greenville University IRB Application for External Research Requests

Part A

Part B

Part C

Part D