Faculty Supervisor's Statement
TO: Institutional Review Board for the Protection of Human Subjects
FROM: Faculty Supervisor:
Department of:
Telephone Extension:
NAME OF STUDENT:
TITLE OF THESIS OR PROJECT:
SPONSOR'S STATEMENT: It is recommended
that in completing this form the faculty sponsor begin with (1)
a succinct statement of the risks, followed by (2) a brief description
of the measures to be taken against these risks, and (3) a brief
statement which places the research methodology within the broader
context of similar research in the discipline. Please make sure
that you (4) explain how the student's proposed study complies with
(a) Federal regulations and (b) University policy with regard to
protection of human subjects from potential harms or risk and (c)
with respect to the principles of justice, beneficence, and respect
for persons.(see "Dear Colleague"
Letter of 01/22/01 for additional guidance.)
My signature below certifies that I as Faculty Sponsor of this research have read and approve the attached application.
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Thesis Chair / Research Supervisor Signature and Date |