[pic] Institutional Review Board Application FOR HUMAN SUBJECTS Research

THE UNIVERSITY OF PHOENIX INSTITUTIONAL REVIEW BOARD (IRB) EXISTS TO ENSURE UNIVERSITY COMPLIANCE WITH FEDERAL REGULATIONS REGARDING RESEARCH INVOLVING HUMAN SUBJECTS. THIS APPLICATION IS USED TO FACILITATE AND DOCUMENT THIS COMPLIANCE REVIEW. RESEARCH PROJECTS WHICH MEET THE FEDERAL DEFINITION FOR RESEARCH AND THE FEDERAL DEFINITION OF HUMAN SUBJECTS MUST BE APPROVED BY THE UNIVERSITY OF PHOENIX IRB BEFORE ANY DATA COLLECTION BEGINS. IF AN IRB APPLICATION IS APPROVED BY THE IRB AND, LATER, THE NATURE OF THE RESEARCH DESIGN, REQUIREMENTS, OR SITE LOCATIONS CHANGE, A REVISED APPLICATION DESCRIBING THESE CHANGES MUST BE SUBMITTED FOR RECONSIDERATION AND APPROVAL BY THE IRB. THIS APPLICATION IS INTENDED AS A STAND ALONE DOCUMENT, SO REFERENCE TO OTHER DOCUMENTS OR APPENDICES OF DISSERTATION PROPOSALS OR OTHER RESEARCH STUDIES DOES NOT SUBSTITUTE FOR DIRECT PROVISION OF THAT INFORMATION AS PART OF THIS APPLICATION, EITHER AS A RESPONSE WITHIN A SECTION OR AS AN ADDENDUM. THIS APPLICATION PERTAINS TO BOTH PILOT STUDIES AND FULL STUDIES. PLEASE NOTE THAT IT IS THE RESEARCHER’S RESPONSIBILITY TO GIVE COMPLETE AND ACCURATE INFORMATION ABOUT THE NATURE OF THE PROPOSED STUDY, PARTICULARLY IN TERMS OF THE EFFECTS ON, AND EXPECTATIONS FOR, SUBJECT PARTICIPANTS. PLEASE NOTE THAT YOU MUST DOCUMENT CURRENCY IN CITI CERTIFICATION AS PART OF THIS APPLICATION.

|Name of Researcher(s) |City, State, and Country / School | |Type of Research |
| |or College and University |Affiliation |(research study, *funded |
|