Proposals for Human Subjects Research projects must conform to submittal standards set forth in the Guidelines. PDF versions of these form templates can be accessed below.
The original plus ten (10) copies of each proposal must be submitted to the Office of the Provost and Vice President for Academic Affairs no later than the scheduled submission dates.
Cover Page template
The Cover Page must include the following:
1. Name(s) of the Investigator(s).
2. Name of the Department(s).
3. Telephone numbers (campus and home)
4. Project Title
5. An abstract limited to the space that is provided.
6. The proposed date of implementation.
7. The names of the Principal Investigator and Faculty Advisor.
8. The signatures of the Principal Investigator and Faculty Advisor.
Checklist template
The Checklist must include the following:
1. Project Title.
2. Name(s) of the Investigator(s).
3. Items that will be checked relating to the study by the investigator, and which will be reviewed by the HSR Board.
Proposal template
The Proposal should include the following:
1. General information, including sources of funding, location where the research will be conducted, the duration of the research project, and expected outcomes.
2. Related experience of the researcher(s).
3. Benefits of the research study.
4. Description of the participants, including the number and salient characteristics of the participants.
5. Description of participation.
6. Ethical issues, including any risks to the participants, and process for soliciting their informed consent.
7. Recruitment procedure, including any inducements for participation.
8. Confidentiality/anonymity procedures.
9. Debriefing.
10. Compensatory follow-up
Informed Consent template
The Informed Consent form must include the following:
1. A brief statement of the purpose of study.
2. A brief description of the benefits of the study.
3. An explanation of what the subjects will be asked to do.
4. A clear explanation of any discomfort or risks (physical and/or psychological) that may occur as a result of their participation.
5. An explanation of how subjects can get more information about the study (e.g., who to ask and how to contact them), before, during, and after their participation.
6. An instruction that subjects are free to withdraw consent and to discontinue participation in the project or activity at any time.
7. A statement describing how confidentiality of records identifying the subject will be assured.
8. The statements: "I have read the above and I understand its contents and I agree to participate in the study. I acknowledge that I am 18 years of age or older." These statements must be followed by a place for the subject to sign his/her name and to put the day's date.
Please review the HSR guidelines for information about other HSR-related forms you may be required to submit:
Exemption from Institutional Oversight Application
Delegated Review Protocol Template
Record of Review and Approval - External Submission
