Protocol Submission Forms and Samples
All forms and samples are new, August 2013
- IRB Protocol Face Sheet (Appendix A). For use by WPUNJ faculty, staff and doctoral students.
- External IRB Protocol Face Sheet (Appendix B). For use by investigators (faculty, staff or student) from other institutions seeking to conduct research at WPU.
- Undergraduate and Master's Degree Student Research Protocol Review Request (Appendix C). For use by WPUNJ Undergraduate and Master's Degree students only. Includes sample Informed Consent Statements
PDF (fillable form)
- Continuing Review Face Sheet (Appendix D). For use by faculty, staff and outside researchers.
Electronic Form: https://www.empliant.com/survey/FD07E1C50-144F-2090-6C8F/
- Sample Statements for Informed Consent Forms (Appendix E). For use by faculty, staff, students, and outside researchers. Includes sample statements of active consent, passive consent, and consent for more-than-minimal risk research.
- Sample Venipuncture Consent Statement (Appendix F).
- Sample Indemnification Clause (Appendix G).
- Protocol Review Form (Appendix H, for IRB Committee use only)
Instruction Only Certification