Scripps College Institutional Review Board Revised Proposal Submission Form

Date of initial submission*
Date of IRB response*
Date of revised submission*
Please upload a letter that specifies where the requested revisions were made and, if needed, specifies where revisions were not made despite the IRB's requests, along with the reasons for not making those revisions.*
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Researcher Role:*
Please consult the Scripps IRB checklist to ensure that your application is complete prior to selecting "Submit Form" at the end of this online form. (http://www.scrippscollege.edu/academics/irb)"
Required for Student Researchers:*
Name*
Upload Ethics Certificate*
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Are there additional investigators?*
Please remember to upload ethics certification for each investigator
Name
Ethics Certificate
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Name
Ethics Certificate
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Name
Ethics Certificate
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Name
Ethics Certificate
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Please include contact information
This introduction should include a 300- to 900-word literature review of existing scholarship showing how your project connects with established bodies of work. Please be sure to briefly introduce in an additional 200-300 words: 1) who your participants are 2) what you will be asking them to do 3) where you will conduct the study, and 4) why you want to do the work you're proposing (your scholarly motivation).
Briefly describe the scholarly questions your study is designed to answer. What do you aim to find out? Please keep in mind that scholars should be clear and open regarding the purpose, methods, outcomes, and sponsors of their work. Scholars must also be prepared to acknowledge and disclose to participants and collaborators all tangible and intangible interests that have, or may reasonably be perceived to have, an impact on their work. (Adapted from the 2012 Statement on Ethics of the American Anthropological Association)
Describe the scholarly merit of the project and any likely benefits of the project to our understanding of the situation or topic that you're studying.
3c. Are there supplemental materials for the methods?*
Methods: If applicable: interview questions, questionnaire, survey, or other related material.*
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Describe how participants will be selected, with attention to equitable representation of gender and ethnicity whenever possible given the aims of your study.
Describe how participants will be recruited.
4c. Upload any recruitment materials you will use, such as email text, fliers, web announcements, Facebook event descriptions, etc.*
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4d. Will your participants include protected populations (e.g. prisoners, children, pregnant women)?*
6a. Do you plan to use written or oral documentation of informed consent?
6c. Upload Informed Consent Document*
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For more information about what should be included on the Informed Consent Document, see the IRB Application checklist at http://www.scrippscollege.edu/academics/irb .
7. Does your project require any deception?*
Please describe the kind of deception and how autonomy will be restored.
Describe the kind of data you will collect (confidential, anonymous, identifiable), how you will protect the data, and how you will store the data
Please describe any risks of a breach of confidentiality
9. Will you be collecting any of the following information?*
Elements of an exit interview/debriefing include: 1) thanking the participants for their time and effort in the study; 2) remind the participants not to discuss the study or their experiences with others outside of the Investigators and the IRB, since otherwise they could be affecting the responses of potential participants; 3) describe the purpose of the study; 4) provide full contact information for the Principal Investigator; 5) provide full contact information for the IRB (Prof. Edwalds-Gilbert, Amy Emmert); 6) provide contact information for follow-up counseling in the case of emotional distress.
10b. Upload debriefing document or script for oral debriefing/exit interview*
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Please describe any benefits for wider questions that address needs of specific communities or society at large.
Identify possible risks to participants and describe how they will be handled.
Please describe any direct benefits to your participants, such as payment, documented health benefits, and/or other types of compensation."
14. Upload required stimulus materials (e.g., interview questions, documents with images or text or descriptions of videos you will use in your work.*
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15. Injury Coverage (this statement MUST appear in your Informed Consent document, including Oral Consent document). There is no injury coverage for this project. Scripps College cannot cover any costs of injury resulting from this project if any were to occur.*
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