INSTITUTIONAL REVIEW BOARD (IRB)Project Title*Principle Investigator Dr. Ms. Mr.NameCollege/University*Department*Department Chair of Applicant* First Last Department Chair Phone Number*Department Chair Email* If Principal Investigator is a student(Required for student researchers)GRADUATE STUDENT: DissertationGRADUATE STUDENT: Master's ThesisUNDERGRADUATE STUDENTS: Senior ThesisUNDERGRADUATE STUDENTS: DivisionUNDERGRADUATE STUDENTS: MajorUNDERGRADUATE STUDENTS: Other Undergraduate projectResearch AdvisorDivision /DepartmentAdvisor Repsonbile Contact: Telephone NumberResearch Advisor Email Section BreakList all personnel involved in research who will have contact with the research that will have contact with human subjects or with their identifiable data:PI: NamePI: Faculty/StaffPI: Graduate Student UndergraduatePI: Graduate Student UndergraduatePI: RolePI: NamePI: Faculty/StaffAdvisor: Graduate Student UndergarduateAdvisor: RoleOther: NameOther: Graduate Student UndergraduateOther:Faculty/StaffOther: RoleFunding and MethodologyIs there funding for this project? Yes NoIf Yes, Identify source as _ Internal ExternalResearch Methodology/Procedures Pre-Existing data Observation Oral History Interview Focus Group Questionnaire or Survey Audio Recording or videotappingCheck all procedures below that apply to your study:Source of DataMax. file size: 256 MB.Attach interview questions, topic and questions, questionnaires or surveys, release forms and plans to disseminated quoted or taped content. (This covers University or prgram legally)Consent Procedures Oral Information Not ApplicableIf Consent Above Not Applicable please explain hereBriefly summarize your project using non-technical, jargon free language that can be understood by scholars outside of this discipline.Give a brief statement of the research question supporting the reasons for, and importance of, the research:Describe the ages and characteristics of your proposed subjects and how you will recruit them (attach recruitment script or materials to be application).For studies using only adult subjects, state how you will ensure they are 18+Briefly describe the research design:Give a detailed description of the procedure(s) subjects will undergo (from their perspective):
