Scribd Logo
Upload

Welcome to Scribd!

  • Form 2.2 Application Checklist

    Uploaded by

    burdeosmaelnora
    6 views1 page
    This document contains an application checklist for an ethics review committee, listing the required documents and information for a research proposal submission. It includes requirements such as endorsement from a technical review board, a request letter addressed to the ethics committee chair, a research protocol covering the study title, significance, objectives, methodology, population, analysis plan, and ethical considerations. It also requires an informed consent form, study tools, CVs of investigators, information on funding and conflicts of interest, a budget, and 10 copies of the full proposal. The applicant must sign and date the completed checklist upon submission.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains an application checklist for an ethics review committee, listing the required documents and information for a research proposal submission. It includes requirements such as endorsement from a technical review board, a request letter addressed to the ethics committee chair, a research protocol covering the study title, significance, objectives, methodology, population, analysis plan, and ethical considerations. It also requires an informed consent form, study tools, CVs of investigators, information on funding and conflicts of interest, a budget, and 10 copies of the full proposal. The applicant must sign and date the completed checklist upon submission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    6 views1 page

    Form 2.2 Application Checklist

    Uploaded by

    burdeosmaelnora
    This document contains an application checklist for an ethics review committee, listing the required documents and information for a research proposal submission. It includes requirements such as endorsement from a technical review board, a request letter addressed to the ethics committee chair, a research protocol covering the study title, significance, objectives, methodology, population, analysis plan, and ethical considerations. It also requires an informed consent form, study tools, CVs of investigators, information on funding and conflicts of interest, a budget, and 10 copies of the full proposal. The applicant must sign and date the completed checklist upon submission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Form 2.

    Ethics Review Committee

    APPLICATION CHECKLIST

    Technical Review Board Endorsement


    Application for Review – Request Letter addressed to ERC chair
    Research protocol/ proposal (PCHRD Form if for EVHRDC Funding)
    ____Title
    ____ Significance of the study
    ____Literature Review
    ____Project Duration
    ____Objectives of the study
    ____Methodology & Procedures
    ____Description of the study population
    ____Exclusion/inclusion criteria
    ____Data analysis
    ____Work Plan Schedule (Gantt chart)
    ____Ethical considerations

    Informed consent both in English and in the research participants’ dialects


    Study tools
    Questionnaires, case report forms, etc.
    Curriculum Vitae of principal investigators & Co-investigators
    Information regarding funding, sponsors, institutional affiliations, other potential
    conflicts of interest
    Study protocol budget/ Line-Item Budget
    Ten (10) copies of the proposal for review

    Name:______________________ Date Submitted: _______________

    Signature: __________________

    You might also like