PROPOSAL COVER PAGE Date:_______________ Institutional Review Board for Human Subjects Research Morehouse College The attached proposal titled:________________________________________________________ _______________________________________________________________________________ is submitted by the Morehouse College Institutional Review Board(IRB) for the protection of human subjects in research. The investigator understands that submission of this proposal for review does not guarantee IRB approval and that the implementation of the proposed research protocol is not permitted until IRB approval is granted. Signature of faculty sponsor is required for students submitting proposals for review. The signature of Department Chair is required for all Proposals. ______________________________________________________________________________ Printed Name of Principal Investigator e-mail address and telephone number ______________________________________________________________________________ Academic Department Address of Principal Investigator ______________________________________________________________________________ Signature of Principal Investigator/Faculty Sponsor Date ______________________________________________________________________________ Signature of Student Investigator Date ______________________________________________________________________________ Signature of Department Chairperson or Staff Supervisor Date If this proposal has been submitted to a federal agency as a grant proposal, complete the information below: Federal Agency:_____________________________ Grant Program: _____________________________ Program Director: _______________________ e-mail:________________________________ Telephone: _________________________________