Study Submission Approval Form

Number:

Submission Date

Is this study IRB-Approved?

Next IRB Review Date:

STUDY DETAILS

Full Study Name:

Please enter the full study name, not the acronym or short name. This name will be used in the public listing.

Short Study Name:

Please enter a short descriptive title for the study in laymen's terms, this will be the title shown in the listing on CHRC web site.

College / Affiliation

Category Name(s)

Other Category

University of Delaware Campus Affiliation:

Description of Study:

Please do NOT include details about what kind of participants you are seeking, the location, or any other information that is collected elsewhere on this form. Brevity is paramount.

STUDY PARTICIPATION

Inclusion and Exclusion Criteria:

"How to Apply" Description:

How to Apply Link:

How to Apply Email:

PROMOTIONAL MATERIAL

DOWNLOAD: IRB Approved Flyer

STUDY CONTACT INFORMATION

Contact Name:

Contact Last

Last

Contact Email:

Phone:

FIRST PRINCIPAL INVESTIGATOR INFORMATION

PI Name:

First

PI Last

Last

PI Email:

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Human Research Coordination

STUDY DETAILS

STUDY PARTICIPATION

PROMOTIONAL MATERIAL

STUDY CONTACT INFORMATION

FIRST PRINCIPAL INVESTIGATOR INFORMATION