Application for Use of the Human Subject Pool

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Fall Timeslots_________ Spring Timeslots: __________ Study #:

__________

APPLICATION TO ACCESS CEP PARTICIPANT POOL

Complete and return the form and IRB approval letter to Dr. Shih (Post Hall 225)

About the Experimenter(s):

1.

Primary experimenter’s name:

2. Primary experimenter’s SJU e-mail address: @sju.edu

3.

Primary experimenter’s alternative e-mail address:

(only enter an alternative email address if you wish correspondence to be sent here INSTEAD of your SJU address.)

4. Primary experimenter’s contact telephone number:

5. Faculty supervisor’s name:

About the Research Project:

6. The study name as it is listed at the Sona website:

7. This project is: Faculty Research

Master Thesis Pilot

Master Thesis Project

Grad Student Independent Research (i.e., not for thesis)

Undergrad Independent Research

Undergrad Research for Class (e.g., research seminar)

8. Total number of participants needed:

9. How many CEP will each participant be awarded total (1 CEP = 30 minutes)?

1 CEP credit 2 CEP credits 3 CEP credits 4 CEP credits

10. How many total CEP credits do you need?

Multiply the numbers from questions 8 and 9 (e.g., 50 participants, 3 CEP total = 150).

11. How many total participant HOURS will you need?

Divide the # from question 10 by 2.

Of the total HOURS proposed above, how many HOURS are you requesting for the fall semester: for the spring semester:

12. Indicate the expiration date for you IRB approval:

Enter “exempt” if IRB has indicated that it is an exempt protocol.

Application Checklist

Please submit the complete application with all necessary paperwork together in one stapled packet.

Have you set up your study at Sona Systems?

I have a researcher account at Sona Systems.

See step 1 on the www.psychology.sju.edu/cep-experimenter.php webpage if you do not have an account.

I have provided a study title that is brief and not misleading

I used the same title at Sona Systems as I listed in Question 6 of this application.

Under "description", I have provided a brief description of what is involved in my study so that students know what they are signing up for.

At minimum, you should give them an overview of the topic being studied and information on what they will be asked

to do (e.g., view and rate pictures of XYZ).

I entered "30" minutes for the duration of the study if it is a 1 CEP study and

"60" minutes for a 2 CEP study.

Necessary paperwork

I have attached my IRB approval letter to this application.

I attached a signed copy of my “Thesis Proposal Approval Form”

This form pertains to thesis data collection and should be submitted after your brownbag presentation. If you are conducting other kinds of research (e.g., faculty research) or piloting your thesis project, write N/A.

I have attached this checklist to my application.

For studies that use the prescreen function

If you are not looking to create equal cell sizes based on participant characteristics (e.g., want equal # of men and women), you can skip this section.

I have set up a separate “study” on Sona Systems for each of the groups I need.

If you are selecting for equal number of men and women, you need to have a study for men and a study for women.

Keep the title of the study the same and add a qualifier (e.g., Mood Study - M and Mood Study - F)

Each of my studies has been properly set up with a study title, description, duration, etc.

I have completed the Multiple Studies Grid on the next page and attached it to the application.

As part of the approval process, the CEP coordinator has to enter a time slot cap for each of the studies. If the grid is filled out incorrectly, it will cause a delay in the approval process. If you are not sure what #'s to put down for the

grid, please see your research mentor or Dr. Shih).

8

9

6

7

10

4

5

2

3

Multiple Studies Grid

Skip this form if your study is open to all participants. See the last item on the checklist

(previous page) for more information.

Complete the grid below using HOURS of subject time needed. The numbers you provide below should line up with the numbers you provided in question 11 of the application.

Study Study Name

Total Hours

Requested for the academic year

Hours requested for the current semester

1

Example:

Study Study Name

1

2

3

4

Mood Study – M

Mood Study – F

Total Hours

Requested for the academic year

20

Hours requested for the current semester

15

20 15

In this example, I am requesting 40 total hours (80 CEP credits) for the academic year. I am requesting 30 total hours (60 CEP credits) for the current semester and presumably 10 total hours for next semester.

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