Reed College
Institutional Review Board (IRB)
Addendum Form
Project Title:
IRB No.
Current Submission Date:
Original Submission’s Approval Date:
Name of Primary Investigator:
On-Campus Address:
Department:
Faculty Advisor (if applicable):
____________________________________________________________________
Instructions:
Attach a document to this form describing the additions/changes to your original
IRB proposal and explaining the rationale for them.
Provide the content in your original proposal, and then specify your revised content
and/or additions. Submit only the documents that have been revised and/or added,
and highlight, or otherwise indicate, the section(s) in the forms that have been
changed. Be sure to revise your consent form/script as needed to reflect
appropriately all additions/changes.
Signature of Advisor: (signature indicates that the addendum has been read and approved)
X__________________________________________________
Signature of Primary Investigator:
X__________________________________________________
Please submit both pages of this document to Joan Meyer in Psy116, and then email your
submission to her, as well. Thank you.