Form 6.2 - Application For Operational Approval To Conduct Research
ADVERTISEMENT
1
2
3
4(Reference Policy F.6 Research Approval)
F.6.2 Application for Operational Approval to Conduct Research
Declaration by Principal Investigator
By signing below, I certify that all information contained within this application is accurate and
complete. If circumstances should arise that affect the accuracy or completeness of the information
provided, I will immediately relay the new information in writing. I agree to follow all applicable
laws, regulations and guidelines pertaining to the conduct of research with humans.
By signing below, I also certify that I have read CMHA, Thunder Bay Branch’s Research Approval
Policy (located at ) and have become familiar with
the process of approval, renewal and completion of research projects within CMHA, Thunder Bay
Branch.
By signing below I also agree that CMHA, Thunder Bay Branch can display basic study information,
including the name of the study, the names of the investigators and the organizations involved, and
a summary of the findings (abstract), in print and electronically as part of our knowledge sharing
initiatives. I also agree that CMHA, Thunder Bay Branch may request the delivery of a presentation
to stakeholders.
Project Name: _________________________________________________________________________
Name/Title of Principal Investigator(s): _____________________________________________________
Principal Agency/Association Name: _______________________________________________________
Contact Address: _______________________________________________________________________
Telephone number: ____________________________________________________________________
Email Address: ________________________________________________________________________
Proposed Dates for project: ______________________________________________________________
Signature of Principal Investigator: ________________________________________________________
Date: ________________________________________________________________________________
Primary Contact Person: (if different from above)
Name: _______________________________________________________________________________
Contact Address: _______________________________________________________________________
Telephone number: ____________________________________________________________________
Email Address: ________________________________________________________________________
Secondary Contact Person:
Name: _______________________________________________________________________________
Telephone Number: ____________________________________________________________________
1
4
Page
of
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Sf 43813 - Application For License Approval To Operate A Hospice Program - Indiana Department Of Health
Legal
Form Nfp-113.40 - Application For Amended Authority To Conduct Affairs In Illinois Under The General Not For Profit Corporation Act
Legal
Form Cacl 280.200 Application For Requesting Approval To Surrender Capital Access Company Law License - California Commissioner Of Corporations
Legal
Form E-2 - Application For Extension Of Time To File Tax Return And/or Prepayment Of Tax For Corporate Income, Privilege Tax, And Partnership Returns - 1998
Financial
Form E-2 - Application For Extension Of Time To File Tax Return And/or Prepayment Of Tax For Corporate Income, Privilege Tax, And Partnership Returns - Kansas Department Of Revenue
Financial
Related Categories
Parent category: Business