Appendix E - Forms for Full Board Review

Institutional Review Board: Appendix E - Forms for Full Board Review

 

Below is the Appendix E - Forms for Full Board Review webform. Print out a copy of this to gather the needed signatures. You will need to scan and save a copy of this form that includes the signatures in order to attach it to the webform below. Please note that applicants should provide 12 sets of the entire Institutional Review Board (IRB) application packet to the chairperson for distribution to the board. 

I agree to provide proper surveillance of this project to ensure that the rights and welfare of human subjects are properly protected. Additions to or changes in procedures affecting the subjects after the project has been approved will be submitted to the Institutional Review Board Committee for review.
You only need to fill out the Principal Investigator and the Project Information Update portions. Please be sure to gather all the needed signatures on this form as needed of this printed form.
This can also include viruses, bacteria, cells or organisms constructed with Recombinant DNA methodology or techniques. (If yes, a Memorandum of Understanding and Agreement must be submitted to the IRB
(If yes, principal investigator must consult with the IRB)
(If yes, please submit an animal protocol form to the Institutional Animal Care Board/Committee in the Research and Extension Department)
e.g., infectious agents, toxins, mutagens, carcinogens, or explosive chemicals. (If yes, provide the Office of Sponsored Programs with an additional copy of the proposal
e.g., accelerators, x-ray machines; diagnostic, therapy microscope, CHESS; an electron reactor of fusion device.
Non-ionizing radiation device (e.g., laser, infrared, ultraviolet, microwave, radio frequency or ultrasonic.
(If yes, you must be a permit holder or authorized under a current permit)
Do either you or other key personnel on this project have any financial interests in or managerial responsibilities with the proposed project that could create a conflict of interest?
If you responded YES to Questions 10, 12, 13 or 14, the proposal should be discussed in advance with the appropriate Dean of the School and his or her signature should be obtained on this form before it is forwarded to the Institutional Review Board.