Crp Approval Form
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1Northern Virginia Campus
Clinical Research Project Approval Form
Student Name:
Student ID Number (not Social Security Number):
Title of CRP:
CRP Committee
1.
Chairperson
2.
3.
1. Committee Approval
Chairperson
Date
2. Proposal Approval
Chairperson
Date
Committee Member
Date
Committee Member
Date
3. Institutional Review Board Approval (Chair, please check appropriate box and complete)
CRP does not use human subjects
CRP does use human subjects and IRB approval has been obtained:
IRB approval date
Protocol number
Institutional Review Board Chair
Date
4. Final Version Approval
Chairperson
Date
Committee Member
Date
Committee Member
Date
5. Meets criteria for concentration:
Child & Family
Health/Neuropsychology
Forensic Psychology
Diversity
General Clinical
Chairperson
Date
6. Bound Copy Accepted by School
Librarian
Date
Acceptance by the Librarian grants Argosy University permission to preserve this dissertation in electronic and hard copy format in
the library. It also grants permission for the electronic copy to be printed and copied for University academic purposes.
Revised 03/08/08
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