____________
Cover Sheet for Human Subjects Proposal
Texas Tech University
Protection of Human Subjects Committee (IRB)
Title: _____________________________________________________________ Date: ______________


The Principal Investigator must be a full-time or tenured TTU faculty member, or a full-time employee with a terminal degree
in their discipline.
The Principal Investigator submits the proposal to the IRB, and is responsible for the design, conduct, and reporting of the
research.
Printed Name(s)
Signature(s)
email(s)
Principal
Investigator
Co-investigator
Co-investigator
Co-Investigator
Department of PI: _____________________________________________
Mail Stop of PI: __________
Requested Review:
_____ Exempt
_____ Expedited
_____ Full Board
Special Populations:
_____ None
_____ Minors
_____ Prisoners
_____ Other
Sponsored Project: _____ Yes. The ORS# is __________ (include a complete copy of the proposal)
_____ Proposal pending. ORS# __________ (include a complete copy of the proposal)
_____ Possible future funding agency: __________________________________
Please send one copy of your proposal to:
Human Research Protection Program
Texas Tech University
Office of the Vice President for Research
357 Administration Building
Mail Stop 1075
Reviewer approval signature and date of approval:
revised 6/2015