Application to the Research Ethics Committee at
Högskolan Dalarna
Please observe that the application as well as attachments should be typed.
Name of Applicant (s):
Subject/level:
Home address:
Telephone:
E-mail:
The investigation has been examined and approved from the point of view of personal
security and resources by the undersigned manager/s.
NB hereby referring to all clinics/departments involved
....................................................................................................................................
Signature/s
Name/s in block letters, title/s
Project title:
1. Which ethical question/s is/are brought to the fore by the project?
2. What measures have been taken in order to reduce or eliminate ethical problems?
4. Who is expected to benefit from the project?
4. How are participants to be informed? (Enclose letter of information)
Place
Date
Place
Date
........................................................
Signature (applicant (s))
..........................................................
Signature (supervisor)
___________________________
___________________________
Name/s in block letters, title/s
Name/s in block letters, title/s
Always attach project plan and whenever applicable letter of
information!
Send application to: Kerstin Göras, Research Ethics Committee,
Högskolan Dalarna, SE-791 88 Falun