YES NO If YES, please describe D. ANNUAL UPDATE FORM MISERICORDIA UNIVERSITY ANNUAL UPDATE FOR RESEARCH INVOLVING HUMAN SUBJECTS Researcher Name(s): Department/Program: Address: Phone: Address: Faculty Research Advisor Name (for student research): Advisor’s Phone Number: Advisor’s Email Address: Project Title: Project Dates: from to Number of subjects enrolled in the study: Please provide a summary of adverse events and any unanticipated problems or complaints related to the research: Please attach a summary of relevant literature, interim findings, amendments or modifications: Include any multi-center research reports (if applicable): Attach a copy of the informed consent Researcher signature(s): Date: For student research: Faculty Research Advisor’s Signature: Date:
YES NO If YES, please describe D. ANNUAL UPDATE FORM MISERICORDIA UNIVERSITY ANNUAL UPDATE FOR RESEARCH INVOLVING HUMAN SUBJECTS Researcher Name(s): Department/Program: Address: Phone: Address: Faculty Research Advisor Name (for student research): Advisor’s Phone Number: Advisor’s Email Address: Project Title: Project Dates: from to Number of subjects enrolled in the study: Please provide a summary of adverse events and any unanticipated problems or complaints related to the research: Please attach a summary of relevant literature, interim findings, amendments or modifications: Include any multi-center research reports (if applicable): Attach a copy of the informed consent Researcher signature(s): Date: For student research: Faculty Research Advisor’s Signature: Date:
irb_policies_and_procedures_2017.docx