Protocol #: ...

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Protocol #:
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Proposal Evaluation Form
The Institutional Review Board (IRB) on the Use of Human Subjects in Research
James Madison University
Investigator(s):
Protocol Title:
1. Do the potential benefits of this research outweigh the risks to subjects?
Yes
No
2. Is the issue of informed consent handled adequately?
Yes
No
3. Is confidentiality assured to the subjects?
Yes
No
4. Is the methodology appropriate to protect the rights and welfare
of the subjects?
Yes
No
5. Are the qualifications of the researcher appropriate for this investigation,
or is the researcher working with a person in the appropriate discipline?
Yes
No
Comments and/or Revisions (Required for Approval):
Other Suggestions and/or Comments (Not Required for Approval):
APPROVED
NAME OF IRB MEMBER
Institutional Review Board
DISAPPROVED (Revisions Needed)
DATE
Send Electronic Copy of Evaluation Form to: [email protected]
Return SIGNED Hard Copy to Office of Research Integrity via Campus Mail MSC 5738
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