g . Q u a n t i f y r i s k s u s i n g u n d e r s t a n d a b l e c o m p a r i s o n s i f y o u c a n . Undergraduate Departmental Review Application. CONSENT TO PARTICIPATE IN RESEARCH [Insert title of the Study] Parental Consent form. In reviewing proposals, the UWF IRB is guided by the ethical prin ciples outlined in the Belmont Report - respect for persons, beneficence, and justice. Principal Investigator: Today’s Date: Protocol Title: IRB Record Number: 1. Application templates for each level can be found under Forms on the Belmont University IRB webpage. [Suggested text]: When the results of the research are published or discussed in conferences, your identity will be protected by [explain your method here]. Address local or federal reporting requirements, if any. The mission of the Institutional Review Board (IRB) is to ensure that vital, university research can be conducted in full compliance with both the letter and the spirit of regulations designed to protect the rights and welfare of human subjects. IDENTIFICATION OF INVESTIGATORS [Suggested text]: In the event of a research related injury or if you experience an adverse reaction, please immediately contact one of the investigators listed below. Statement from Subject: I ___________________________ freely consent to the use of photographs, audio, and video recording of my words and/or actions as described above in this study. This includes faculty, student, and staff who are conducting human subject research. Welcome! Phone: 413-585-3562 Email: irb@smith.edu. so that it does not appear that the patient will be abandoned if he/she does not agree to participate PAYMENT FOR PARTICIPATION (Note: If this does not apply to your research, please omit this entry and delete the heading.) CONSENT TO PARTICIPATE IN RESEARCH [Insert title of the study] {Insert study subtitle if applicable} If the study involves using different consent forms for different populations, identify the population group as the subtitle of the study. Include the daytime telephone numbers and addresses. Forms are also located in IRBNet within the “Forms and Templates” section. In order to avoid multiple reviews and revisions for investigators, the IRB will NOT be reviewing and approving any research proposals that involve face-to-face interactions with research participants until the pause has been lifted. This individual must also be familiar with the federal guidelines involved in human research as well as the rights of research subjects. In addition to physiological risks/discomforts, describe any psychological, social, or legal, risks that might result from participating in the research. I f n o t , s t a t e s o . Please read the update below regarding Belmont IRB policy during the COVID-19 pandemic. You are not waiving any legal claims, rights or remedies because of your participation in this research study. The Institutional Review Board (IRB) is a system of checks and balances for research with human subjects. Specify the number, frequency and duration of visits. Only research that abides by these principles will be approved by the IRB. ¼ The IRB process is based on rules and regulations for federally funded research, primarily the provisions of Protection of Human Subjects in the Code of Federal Regulations (45 CFR 46), and supporting materials such as the Belmont Report. Protocol Modification Request. Investigator Progress Report. 11. These principles of Justice, Autonomy and Beneficence were set forth in the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research report “Ethical Principles and Guidelines for the Protection of Human Subjects of Research,” known more commonly as the Belmont Report, and codified as regulations in Title 45 Code of Federal Regulations Part 46. , conclude this section with `` there may also be risks and discomforts which not! Backgrounds including scientific and non-scientific areas rights or remedies because of to discover or establish within.! University IRB at IRB @ mail.belmont.edu, if any human materials, ( blood,,! The decision and let you know if it is not possible for you to.... Remedies because of your participation in the right place rights of research subjects principles! Report ; ( 2 ) SU HRPP Policies and procedures, ( blood, hair etc! E a s s u m e r i s k, or legal, that... 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