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Step 1: Intake Form
Fill out this form to start your IVRJ IRB Process
First name *
Last name *
Email *
Phone *
Preferred method of communication *
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Email
Phone
Email or Phone
Role & Affiliation:
What best describes you? *
Student Researcher
Professor/Faculty
Independent Scholar / Researcher
Community Researcher / Advocate
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Faculty Advisor Name
Advisor’s Institutional Affiliation
Does the advisor’s institution have an IRB?
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No
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Are you affiliated with an institution, organization, or community group?
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No / Unaffiliated
If Yes, tell us:
Name of Organization / Community
Your role or relationship
Institution Name
Does your institution have an IRB?
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Is this research grant-funded?
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No
Name of Grantor / Funder
Are you conducting this research on behalf of or in collaboration with an organization or community group?
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No
Name of Organization / Community
Your role or relationship
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Your role or affiliation
Are you conducting this research on behalf of or in collaboration with a community group or organization?
Yes
No
Name of Community / Organization
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Are you ready to submit a research proposal to the IRB?
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No
Have you completed ethics training?
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If yes, which training did you receive?
Select one...
PHRP
CITI
Other
If Other, tell us what training you received:
Briefly describe your research topic or proposed project. *
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