Name of applicant: Programme of study: Title of study: The checklist below helps you to ensure that you have all the supporting documents submitted with your ethics application form. This information is necessary for the committee to be able to review and approve your application. Please complete the relevant boxes indicating whether a document is enclosed and where appropriate identifying the date and version number allocated to the specific document (in the header/footer). Additional documents can be recorded in the boxes provided or extra boxes added to the list if necessary. Enclosed? (circle appropriate Date Version Office Use response) No Document Yes No Application Form Mandatory Risk Assessment Form Mandatory Participant Invitation Letter Yes No Participant Information Sheet Yes No Participant Consent Form Yes No Participant Recruitment Material - e.g. Yes No copies of Posters, newspaper adverts, website, emails Organisation Management Yes No Consent/Agreement Letter Research instrument, validated Yes No questionnaire Research instrument, non-validated Yes No questionnaire Draft Interview guide/ Topic guides for Yes No participants National Research Ethics Committee Yes No application (LREC form) NOTE: If the appropriate documents are not submitted with the application form then the application will be returned directly to the applicant and will need to be re-submitted at a later date thus delaying the approval process.
Name of applicant: Programme of study: Title of study: The checklist below helps you to ensure that you have all the supporting documents submitted with your ethics application form. This information is necessary for the committee to be able to review and approve your application. Please complete the relevant boxes indicating whether a document is enclosed and where appropriate identifying the date and version number allocated to the specific document (in the header/footer). Additional documents can be recorded in the boxes provided or extra boxes added to the list if necessary. Enclosed? (circle appropriate response) Date Version No Office Use Document Yes No Application Form Mandatory Risk Assessment Form Mandatory Participant Invitation Letter Yes No Participant Information Sheet Yes No Participant Consent Form Yes No Participant Recruitment Material - e.g. copies of Posters, newspaper adverts, website, emails Yes No Organisation Management Consent/Agreement Letter Yes No Research instrument, validated questionnaire Yes No Research instrument, non-validated questionnaire Yes No Draft Interview guide/ Topic guides for participants Yes No National Research Ethics Committee application (LREC form) Yes No NOTE: If the appropriate documents are not submitted with the application form then the application will be returned directly to the applicant and will need to be re-submitted at a later date thus delaying the approval process.
Health-Taught-Application-Checklist_10th-November-2017_v.6.docx