FORM: Application for Classroom Projects/Activities
IRB PROJECT NUMBER DATE
4/12/2020
PAGE
1 of 3
The Application for Classroom Projects/Activities should be used if the professor requires the students to conduct human subjects research as part of a Classroom Project/Activity. Please see our FAQ page regarding whether the activity is human subjects research: http://www.temple.edu/research/regaffairs/irb/irb_faq.html
The Application for Classroom Projects/Activities should not be used for a student’s Diamond Scholar research project, master’s thesis, doctoral dissertation, Capstone Project, or similar intensive, active learning project that requires significant effort in the planning, implementation, and preparation of a substantial final written work product.
Class title:
Investigator
(Professor):
Department:
Physical address, phone #, and e-mail address
Provide one each of the following documents:
 FORM: Application for Classroom Projects/Activities o Appendix A: Summary of each student’s project/activity
 Class syllabus
 Class roster
 Approval letters from external sites, e.g., agencies, schools, etc., if applicable

FORM: Application for Classroom Projects/Activities
IRB PROJECT NUMBER DATE
4/12/2020
PAGE
2 of 3
Investigator/Professor Certification and Acknowledgement
I certify that all of the students’ projects/activities meet the following criteria:
 The research holds out no more than minimal risk to the subjects. “Minimal risk” means that the probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests.
 Identification of the subjects or their responses will not reasonably place them at risk of criminal or civil liability or be damaging to their financial standing, employability, insurability, reputation, or be stigmatizing, unless reasonable and appropriate protections will be implemented such that risks related to invasion of privacy and breach of confidentiality are no greater than minimal.
 The research does not involve prisoners. “Prisoner” means any individual involuntarily confined or detained in a penal institution. The term is intended to encompass individuals sentenced to such an institution under a criminal or civil statute, individuals detained in other facilities by virtue of statutes or commitment procedures which provide alternatives to criminal prosecution or incarceration in a penal institution, and individuals detained pending arraignment, trial, or sentencing. Common examples of the application of the regulatory definition of prisoner are as follows:
Individuals who are detained in a residential facility for court-ordered substance abuse treatment as a form of sentencing or alternative to incarceration are prisoners; however, individuals who are receiving non-residential court-ordered substance abuse treatment and are residing in the community are not prisoners.
Individuals with psychiatric illnesses who have been committed involuntarily to an institution as an alternative to a criminal prosecution or incarceration are prisoners; however, individuals who have been voluntarily admitted to an institution for treatment of a psychiatric illness, or who have been civilly committed to non-penal institutions for treatment because their illness makes them a danger to themselves or others, are not prisoners.
Parolees who are detained in a treatment center as a condition of parole are prisoners; however, persons living in the community and sentenced to community-supervised monitoring, including parolees, are not prisoners.
Probationers and individuals wearing monitoring devices are generally not considered to be prisoners; however, situations of this kind frequently require an analysis of the particular circumstances of the planned subject population. Institutions may consult with OHRP when questions arise about research involving these populations.
 I agree to conduct this Human Research in accordance with applicable regulations and the organization’s policies and procedures.
 I confirm that I and all students have obtained passing scores on the CITI course on minimal risk social and behavioral research.
Investigator signature Date
Do you want to be included in the IRB Listserv to be updated on IRB news, webinars, and other training opportunities? If so, please contact Naomi E. Starkey at: naomi.starkey@temple.edu

FORM: Application for Classroom Projects/Activities
IRB PROJECT NUMBER DATE
4/12/2020
PAGE
3 of 3
Appendix A: Summary of each student’s project/activity
(if each student’s project/activity differs from the others’ projects/activities)
Student name:
One or two paragraph summary of the project/activity
Student name:
One or two paragraph summary of the project/activity
Student name:
One or two paragraph summary of the project/activity