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Baker College Pre-IRB Application
Baker College Pre-IRB Application
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Pre-IRB application for Baker College Faculty, Staff, and Students.
(For additional information related to the pre-IRB application form, please refer to the Baker College IRB Application Guidelines document located on the IRB Website.)
Are you a Student?
Are you a Student?
Yes
No
Campus
Cadillac
Jackson
Muskegon
Online/Graduate Studies
Owosso
Port Huron
Royal Oak
Provide a brief summary of the proposed research in lay terms. Include major hypotheses, research questions, and research design.
Describe the information needed and how you plan to obtain the data needed.
Does the research involve human subjects?
Does the research involve human subjects?
Yes
No
Describe the source(s) of subjects and the selection criteria. Specifically, how will you obtain potential subjects, and how will you contact them? Will any compensation or incentives be given for participation? If so, what?
Describe the consent process. Attach a copy of all consent documents below.
Provide a step-by-step description of each procedure, including the timelines, duration, and location of each procedure.
Describe all known and anticipated risks to the subjects including side effects, risks of placebo, risks of normal treatment delay, etc.
Describe the anticipated benefits to subjects, and the importance of the knowledge that may reasonably be expected to result.
How will confidentiality of the data be maintained? Include exact location of the signed originals of the informed consent forms, the method of storage, and the names or titles of individuals having access to the consent documents. Specify a date for the destruction of data.
Describe the help you need from any Baker College Campus or the Baker College System with the analysis of this data.
How will results be disseminated?
Documentation Checklist
This field is to show example documentation you may need to submit with your application. More documentation may be requested after submission as well. It is not required to make any changes to this section for submission.
Documentation Checklist
CITI Training Certificate
Consent Form(s)
Copy of Proposed Protocol
External Financial Support Proposal
Documentation
Upload all documents related to this request. You can select multiple files by holding the "Ctrl" (Control) key on your keyboard and left clicking on each file one at a time.
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I certify that I have read the Baker College IRB Policies and Procedures to the best of my knowledge the information presented herein is an accurate reflection of the proposed research project. By typing my name here I am approving this request to be reviewed.
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code