Form: Student Course-based Research Ethics Application | Research Ethics Board

Step 1 of 8

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Section A: General Information

Student Principal Investigator(Required)

First Last

Today's Date(Required)

Phone(Required)

NC Student Email Address(Required)

Enter Email Confirm Email

Professor/Instructor(Required)

First Last

Professor/Instructor Email(Required)

Enter Email Confirm Email

Course Title(Required)

Student Project Title(Required)

Assignment Title(Required)

Other Student Researchers

First Name

Last Name

**The principal investigator is the leader of a research team who is responsible for the conduct of the research and for the actions of any member of the research team (TCPS 2, p. 194).

Section B: General Project Information

1. How does your project link to the assignment outcomes?

Section C: Research Information

2. Where will the research be conducted?

3. Who will the research participants be?

4. How many participants are expected to participate?

5. How will the participants be recruited and selected?

6. What research instruments/materials will be used (e.g. surveys, observation tracking sheet, etc.)? Attach all final tools to be used?

Max. file size: 256 MB.

7. What are the steps research participants will be involved (e.g., tasks, activities, testing, interviews, surveys, etc.)? Please include time requirements.

Section D: Risks and Conflicts of Interest

8. Will there be any perceived or anticipated risks/conflicts of interest or the potential for risks/conflicts of interest?

Yes

If YES, please describe the risks/conflicts of interest and the actions you will take to manage the risks/conflicts of interest.(Required)

Section E: Consent Process and Feedback to Participants

9. How will the participants be informed of any risks, procedures and information about the research project?

9a. Attach all final forms, letters, email text, scripts to participants.

Max. file size: 256 MB.

10. Will participants have the right to stop participating at any time without penalty?

Yes

If NO, please provide details.(Required)

Section F: Privacy and Confidentiality

11. Will there be the collection of data may identify a participant?

Yes

If YES, please describe the identifiable data to be collected.(Required)

12. How will confidentiality and privacy of the participants be protected?

G. Documents for Submission

Submit a copy of the following documents. If not included, please explain why.

Proof of research ethics training for all researchers (e.g. TCPS 2 certificate):

Yes

N/A

If NO, please explain.(Required)

Final letters of information/consent forms:

Yes

N/A

If NO, please explain.(Required)

Final recruitment materials (e.g. posters, email, telephone scripts, etc.):

Yes

N/A

If NO, please explain.(Required)

Final research instruments (e.g. surveys, questionnaires, tests, etc.):

Yes

N/A

If NO, please explain.(Required)

List other documents being submitted not listed above:

Section H: Signatures

Acknowledgement(Required)

By checking this box and sending an electronic copy through my personal Niagara College email account, (insert email); I, , certify that it will serve as my official digital signature; and that I acknowledge, understand, and agree to the statements below (I-V).

Agreement(Required)

I acknowledge that I agree to the below.

I. The information provided in this form is accurate.
II. My research team and I will not begin the recruitment and or collection of data prior to receiving approval from my professor/instructor.
III. I will report any changes to the research protocols/final documents or unanticipated events immediately to my professor/instructor.
IV. I will conduct research with the highest ethical standards according the College’s and TCPS 2 (2010) guidelines.
V. I will seek the guidance, advice, and assistance from my professor/instructor regarding the ethical conduct of research.