REVISION DATE 08012019 INSTRUCTOR’S APPROVAL OF EXEMPT CLASS RESEARCH

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REVISION DATE 08012019 INSTRUCTOR’S APPROVAL OF EXEMPT CLASS RESEARCH

Revision Date 08/01/2019

Instructor’s Approval of Exempt Class Research

Instructor’s Name:

Class Number and Title:

Date:

Check all that applies and submit to the HRC Chair via email [email protected]

  1. ☐ I request that the student research for the above mentioned class be categorized as “Exempt Research” and considered as one proposal.

  2. ☐ I verify that all students wishing to engage in Human Subjects Research will take and pass the required CITI training prior to engaging in research involving human participants.

  3. ☐ I verify that all student research covered by this exemption fits one or more of the following projects under “Exempt Research”:

Check all the Apply for Exempt Research:

  1. ☐ Projects involving collection of data through the use of opinion surveys, questionnaires or interviews (e.g. opinion surveys, marketing surveys, exit interviews) for which response is voluntary and completely anonymous. When data gathered concerns issues of personal sensitivity (e.g. drug use, criminal behaviors, sexual behavior, or employability, financial standing or reputation) careful attention is needed to assure complete anonymity with no linkable, individually identifiable date.

  2. ☐ Projects limited to activities involving normal educational practices in commonly accepted educational settings (e.g.in-class demonstration studies, laboratory exercises, and studies of curriculum or teaching strategies). (Usually, any study which requires that subjects be removed from their normal classroom situation for testing, and or involves minor children, is not exempt.)

  3. ☐ Projects limited to the observation of public behavior for which anonymity of subjects in maintained.

  4. ☐ REVISION DATE 08012019 INSTRUCTOR’S APPROVAL OF EXEMPT CLASS RESEARCH Projects limited to the examination and analysis of existing data or specimens so long as these are publicly available and individual subjects will not be identified in any report of the research.

DREVISION DATE 08012019 INSTRUCTOR’S APPROVAL OF EXEMPT CLASS RESEARCH . ☐ I understand and agree with the policy that in the event a student research project falls outside the “exempt” status, the student will be required to submit an application for review and approval prior to the start of their research.

Please attach a list of the student names in the class covered by this request and the certificates of completion of CITI training.



__________________________________________________________________________________

Signature of the Instructor Date




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