Application to Use Human Research Subjects Essay

Application to wasting disease Human Research Subjects - Essay Example get a line and call Dept. Phone, E-mail address 3. Non-key personnel Name and Title Dept. Phone, E-mail address 7. Consultants Name and Title Dept. Phone, E-mail address 8. The principal investigator agrees to carry out the proposed project as stated in the application and to promptly report to the Human Subjects Committee any proposed changes and/or unanticipated problems involving risks to subjects or others active in approved project in accordance with the Liberty Way and the mysticality Statement. The principal investigator has gravel to copies of 45 CFR 46 and the Belmont Report. The principal investigator agrees to inform the Human Subjects Committee and complete all needed reports should the principal investigator terminate friendship with the University. Additionally s/he agrees to maintain records and keep cognizant consent documents for three years after completion of the project even if th e principal investigator terminates association with the University. ___________________________________ _________________________________________ Principal Investigator Signature fitting ___________________________________ _________________________________________ Faculty Sponsor (If applicable) Date Submit the original beg to Liberty University Institutional Review Board, CN Suite 1582, 1971 University Blvd., Lynchburg, VA 24502. Submit also via email to irbliberty.edu APPLICATION TO USE valet RESEARCH SUBJECTS 10. This project will be conducted at the following location(s) (please indicate city & state) Liberty University Campus X other(a) (Specify) Charlottesville High School Charlottesville, Virginia 11. This project will involve the following subject types (check-mark types to be studied) X Normal Volunteers (Age 18-65) Subjects Incapable Of Giving Consent In Patients Prisoners Or Institutionalized Individuals Out Patients X minor league (Under Age 18) Patient Contro ls Over Age 65 Fetuses University Students (PSYC Dept. subject pool __) Cognitively Disabled Other Potentially Elevated Risk Populations______ Physically Disabled __________________________________________ Pregnant Women Subjects Incapable of Giving Consent. 12. Do you conceive to use LU students, staff or faculty as participants in your study? If you do non intend to use LU participants in your study, please check no and proceed directly to level 13. YES NO X If Yes, please list the department and/or classes you hope to enlist and the number of participants you would interchangeable to enroll. In order to process your request to use LU subjects, we must ensure that you have contacted the suppress department and gained permission to collect data from them. Signature of Department Chair ___________________________________ ____________________________ Department Chair Signature(s) Date 13. Estimated number of subjects to be enrolled in this protocol ___15-25____________ 14. Does this project call for (check-mark all that apply to this study) X Use of Voice, Video, Digital, or Image Recordings? Subject Compensation? Patients $ Volunteers $ Participant Payment Disclosure Form Advertising For Subjects? much Than Minimal Risk? More Than Minimal Psychological Stress? Alcohol Consumption? X Confidential Material (questionnaires, photos, etc.)? Waiver of Informed Consent? Extra Costs To The Subjects (tests, hospitalization, etc.)? VO2 Max Exercise?