Bard Institutional Review Board
IRB Home Summary: What to Do Informed Consent Frequently Asked Questions Training and Certification Interview Procedures, Ethnographic Work, Oral Histories, and Exempt Status Is My Project Exempt? Guidelines for Internet Research Checklist Submit Online Meeting Dates Contact the IRB	New IRB Proposal Form Please note: You must complete this form in one session. You will receive a response about the status of your proposal approximately three weeks after submission. Please be sure to e-mail all attachments and supplemental materials to IRB@bard.edu. Section 1 Please enter the following information about yourself: Last Name: * First Name: * E-mail: * Phone Number: Your academic program: : Your status (faculty, grad, undergrad): Name of your adviser or faculty sponsor: Your adviser's or faculty sponsor's email address: Today's date: Section 2. Please enter the following information about your project. I have read the IRB’s Categories of Review, and my proposal qualifies for a: Full Review Expedited Review Exempt Review Do you have external funding for this research? Yes No If so, state name of granting institution and the title of the project as it was submitted to that institution. When do you plan to begin collecting data for this project? (begin date): When do plan to end your data collection for this project? (end date): What is the title of your project? Describe your research question briefly (approximately 250 words or less): Will your participants include individuals from specific populations (e.g., children, pregnant women, prisoners, or the cognitively impaired)? Yes No If your participants will include individuals from specific populations, please specify the population(s) and briefly describe any special precautions you will use. Briefly describe how you will recruit participants. (e.g., Who will approach participants? What is the source of the participants?) Briefly describe the procedures you will be using to conduct your research. Include descriptions of what tasks your participants will be asked to do, and about how much time will be expected of each individual. NOTE: If you have supporting materials (recruitment posters, printed surveys, etc.) please email these documents separately as attachments to IRB@bard.edu. Name your attachments with your last name and a brief description (e.g., "WatsonConsentForm.doc"). Approximately how many individuals do you expect to participate in your study? Please describe any risks and benefits your research may have for your participants. (For example, one study's risks might include minor emotional discomfort and eye strain. The same study's benefits might include satisfaction from contributing to scientific knowledge and greater self-awareness.) Have you prepared a consent form and emailed it as an attachment to IRB@bard.edu? Yes No Please note: you must submit all necessary consent forms before your proposal is considered complete. Please include here the verbal description of the consent process (how you will explain the consent form and the consent process to your participants): If your project will require that you use only a verbal consent process (no written consent forms), please describe why this process is necessary, how verbal consent will be obtained, and any additional precautions you will take to ensure the confidentiality of your participants. What procedures will you use to ensure that the information your participants provide will remain confidential? Will it be necessary to use deception with your participants at any time during this research? Please note: withholding details about the specifics of one's hypothesis does not constitute deception. However, misleading participants about the nature of the research question or about the nature of the task they will be completing does constitute deception. Yes No If your project study includes deception, please describe here the process you will use, why the deception is necessary, and a full description of your debriefing procedures. For projects not using deception, please include your debriefing statement. (This is information you provide to the participant at the end of your study to explain your research question more fully than you may have been able to do at the beginning of the study.) All studies must include a debriefing statement. Be sure to give participants the opportunity to ask any additional questions they may have about the study. Section 3. For projects using multilingual participants or using video recording: If you will be conducting interviews in a language other than English, will you conduct all of the interviews yourself, or will you have the assistance of a translator? Myself Translator Not applicable If you will be conducting interviews in a language other than English, please describe your competence or fluency in the other language(s) you will use. If you will be using the assistance of a translator, that individual must also certify that he or she is familiar with human subject protocol and has completed the online training course. Please respond whether you have found an IRB-certified translator. Yes No Not applicable f you have not yet found a translator, do you agree that when you do find a translator, you will make sure that person will also agree to use standard protocol for the treatment of human subjects, and that the individual's training certificate will be submitted to the IRB records before you begin collecting data? Yes No Not applicable If your recruitment materials or consent forms will be presented in languages other than English, please translate these documents and email copies at attachments to IRB@bard.edu. I have submitted all of my translated materials Yes No Not applicable If you are using video recording, please email as an attachment a copy of the video consent form you will use to IRB@bard.edu (e.g., "WatersVideoConsent.doc"). I have submitted a copy of my video consent form. Yes No Not applicable Section 4. To finalize and submit your application. Please verify that you have completed this form fully and accurately. If you are a graduate or undergraduate student, has your adviser seen and approved your application? Yes No If you have not already done so, you must ask your adviser to email a statement on your behalf to IRB@bard.edu The statement should read, "I have reviewed [your name]'s proposal and I will oversee this research in its entirety." Please read the following statement carefully: I have read the Bard IRB policy on the treatment of human research participants. I will comply with the informed consent requirement, and I will inform the IRB if significant changes are made in the proposed study. I certify that all of the information contained in this proposal is truthful. Submitting this form means that you affirm the statement above and will comply with the content. This counts as your legally binding signature.

Bard Institutional Review Board

New IRB Proposal Form

Please note: You must complete this form in one session. You will receive a response about the status of your proposal approximately three weeks after submission. Please be sure to e-mail all attachments and supplemental materials to IRB@bard.edu.

Section 1

Please enter the following information about yourself:

Last Name: * First Name: * E-mail: * Phone Number: Your academic program: : Your status (faculty, grad, undergrad): Name of your adviser or faculty sponsor: Your adviser's or faculty sponsor's email address: Today's date:

Section 2.

Please enter the following information about your project.

I have read the IRB’s Categories of Review, and my proposal qualifies for a: Full Review Expedited Review Exempt Review Do you have external funding for this research? Yes No If so, state name of granting institution and the title of the project as it was submitted to that institution. When do you plan to begin collecting data for this project? (begin date): When do plan to end your data collection for this project? (end date): What is the title of your project? Describe your research question briefly (approximately 250 words or less): Will your participants include individuals from specific populations (e.g., children, pregnant women, prisoners, or the cognitively impaired)? Yes No If your participants will include individuals from specific populations, please specify the population(s) and briefly describe any special precautions you will use. Briefly describe how you will recruit participants. (e.g., Who will approach participants? What is the source of the participants?) Briefly describe the procedures you will be using to conduct your research. Include descriptions of what tasks your participants will be asked to do, and about how much time will be expected of each individual. NOTE: If you have supporting materials (recruitment posters, printed surveys, etc.) please email these documents separately as attachments to IRB@bard.edu. Name your attachments with your last name and a brief description (e.g., "WatsonConsentForm.doc"). Approximately how many individuals do you expect to participate in your study? Please describe any risks and benefits your research may have for your participants. (For example, one study's risks might include minor emotional discomfort and eye strain. The same study's benefits might include satisfaction from contributing to scientific knowledge and greater self-awareness.) Have you prepared a consent form and emailed it as an attachment to IRB@bard.edu? Yes No Please note: you must submit all necessary consent forms before your proposal is considered complete. Please include here the verbal description of the consent process (how you will explain the consent form and the consent process to your participants): If your project will require that you use only a verbal consent process (no written consent forms), please describe why this process is necessary, how verbal consent will be obtained, and any additional precautions you will take to ensure the confidentiality of your participants. What procedures will you use to ensure that the information your participants provide will remain confidential? Will it be necessary to use deception with your participants at any time during this research? Please note: withholding details about the specifics of one's hypothesis does not constitute deception. However, misleading participants about the nature of the research question or about the nature of the task they will be completing does constitute deception. Yes No If your project study includes deception, please describe here the process you will use, why the deception is necessary, and a full description of your debriefing procedures. For projects not using deception, please include your debriefing statement. (This is information you provide to the participant at the end of your study to explain your research question more fully than you may have been able to do at the beginning of the study.) All studies must include a debriefing statement. Be sure to give participants the opportunity to ask any additional questions they may have about the study.

Section 3.

For projects using multilingual participants or using video recording:

If you will be conducting interviews in a language other than English, will you conduct all of the interviews yourself, or will you have the assistance of a translator? Myself Translator Not applicable If you will be conducting interviews in a language other than English, please describe your competence or fluency in the other language(s) you will use. If you will be using the assistance of a translator, that individual must also certify that he or she is familiar with human subject protocol and has completed the online training course. Please respond whether you have found an IRB-certified translator. Yes No Not applicable f you have not yet found a translator, do you agree that when you do find a translator, you will make sure that person will also agree to use standard protocol for the treatment of human subjects, and that the individual's training certificate will be submitted to the IRB records before you begin collecting data? Yes No Not applicable If your recruitment materials or consent forms will be presented in languages other than English, please translate these documents and email copies at attachments to IRB@bard.edu. I have submitted all of my translated materials Yes No Not applicable If you are using video recording, please email as an attachment a copy of the video consent form you will use to IRB@bard.edu (e.g., "WatersVideoConsent.doc"). I have submitted a copy of my video consent form. Yes No Not applicable

Section 4.

To finalize and submit your application. Please verify that you have completed this form fully and accurately.

If you are a graduate or undergraduate student, has your adviser seen and approved your application? Yes No If you have not already done so, you must ask your adviser to email a statement on your behalf to IRB@bard.edu The statement should read, "I have reviewed [your name]'s proposal and I will oversee this research in its entirety."

Please read the following statement carefully:

I have read the Bard IRB policy on the treatment of human research participants. I will comply with the informed consent requirement, and I will inform the IRB if significant changes are made in the proposed study. I certify that all of the information contained in this proposal is truthful.

Submitting this form means that you affirm the statement above and will comply with the content. This counts as your legally binding signature.