Education Faculty Research Ethics Review Application for full review For Faculty Office use only FREC Protocol No: Date received: Your application must comprise the following documents (please tick the boxes below to indicate that they are attached): Application Form Peer Review Form Copies of any documents to be used in the study: Participant Information Sheet(s) Consent Form(s) Introductory letter(s) Questionnaire Focus Group Guidelines RevisedVersionMay2011 1 of 5 Education Faculty Research Ethics Review Application for full review 1. PROJECT DETAILS MAIN RESEARCHER E-MAIL POSITION WITHIN CCCU POSITION OUTSIDE CCCU COURSE (students only) DEPARTMENT (staff only) PROJECT TITLE TUTOR/SUPERVISOR: NAME TUTOR/SUPERVISOR: E-MAIL DURATION OF PROJECT (start & end dates) OTHER RESEARCHERS 2. OUTLINE THE ETHICAL ISSUES THAT YOU THINK ARE INVOLVED IN THE PROJECT. 3. GIVE A BRIEF OUTLINE OF THE PROJECT in no more than 100 words. (Include, for example, sample selection, recruitment procedures, data collection, data analysis and expected outcomes.) Please ensure that your description will be understood by the lay members of the Committee. 4. How many participants will be recruited? 5. Will you be recruiting STAFF or STUDENTS from another faculty? 6. Will participants include minors, people with learning difficulties or other vulnerable people? 7. Potential risks for participants: - Emotional harm/hurt* - Physical harm/hurt - Risk of disclosure - Other (please specify) YES/NO If yes, which Faculty? IMPORTANT: If you intend to recruit participants from another Faculty, this form must be copied to the Dean of the Faculty concerned, and to the Chair of that Faculty’s Research Ethics Committee. YES/NO If yes, please add details. Please indicate all those that apply. YES/NO YES/NO YES/NO *Please note that this includes any sensitive areas, feelings etc., however mild they may seem. RevisedVersionMay2011 2 of 5 8. How are these risks to be addressed? 9. Potential benefits for participants: - Improved services - Improved participant understanding - Opportunities for participants to have their views heard. - Other (please specify) 10. How, when and by whom will participants be approached? Will they be recruited individually or en bloc? 11. Are participants likely to feel under pressure to consent / assent to participation? 12. How will voluntary informed consent be obtained from individual participants or those with a right to consent for them? - Introductory letter - Phone call - Email - Other (please specify) 13. How will permission be sought from those responsible for institutions / organisations hosting the study? - Introductory letter - Phone call - Email - Other (please specify) Please indicate all those that apply. YES/NO YES/NO YES/NO Please indicate all those that apply and add examples in an appendix. YES/NO YES/NO YES/NO Please indicate all those that apply and add examples in an appendix. YES/NO YES/NO YES/NO 14. How will the privacy and confidentiality of participants be safeguarded? (Please give brief details). 15. What steps will be taken to comply with the Data Protection Act? - Safe storage of data - Anonymisation of data - Destruction of data after 5 years - Other (please specify) Please indicate all those that apply. YES/NO YES/NO YES/NO 16. How will participants be made aware of the results of the study? 17. What steps will be taken to allow participants to retain control over audio-visual records of them and over their creative products and items of a personal nature? 18. Give the qualifications and/or experience of the researcher and/or supervisor in this form of research. (Brief answer only) RevisedVersionMay2011 3 of 5 19. If you are NOT a member of CCCU academic staff or a registered CCCU postgraduate student, what insurance arrangements are in place to meet liability incurred in the conduct of this research? Attach any: Participant information sheets and letters Consent forms Data collection instruments Peer review comments DECLARATION I certify that the information in this form is accurate to the best of my knowledge and belief and I take full responsibility for it. I certify that a risk assessment for this study has been carried out in compliance with the University’s Health and Safety policy. I certify that any required CRB/VBS check has been carried out. I undertake to carry out this project under the terms specified in the Canterbury Christ Church University Research Governance Handbook. I undertake to inform the relevant Faculty Research Ethics Committee of any significant change in the question, design or conduct of the study over the course of the study. I understand that such changes may require a new application for ethics approval. I undertake to inform the Research Governance Manager in the Graduate School and Research Office when the proposed study has been completed. I am aware of my responsibility to comply with the requirements of the law and appropriate University guidelines relating to the security and confidentiality of participant or other personal data. I understand that project records/data may be subject to inspection for audit purposes if required in future and that project records should be kept securely for five years or other specified period. I understand that the personal data about me contained in this application will be held by the Research Office and that this will be managed according to the principles established in the Data Protection Act. Researcher’s Name: Date: FOR STUDENT APPLICATION ONLY I have read the research proposal and application form, and support this submission to the FREC. Supervisor’s Name: Date: RevisedVersionMay2011 4 of 5 CONDITIONS ATTACHED TO APPROVAL BY THE COURSE RESEARCH ETHICS COMMITTEE NAME DATE Approved by Course Committee Checked by Faculty Committee CONDITIONS ATTACHED TO APPROVAL BY THE EDUCATION FACULTY RESEARCH ETHICS COMMITTEE NAME Approved by Faculty Committee RevisedVersionMay2011 5 of 5 DATE