Research Sponsorship Application for Projects Requiring Approval by NHS Ethics Committee and Involving Research on Human Subjects, their tissues, organs or data, by Staff and/or Students of Loughborough University The project must not commence until insurance, ethics approval and sponsorship are obtained PART A - PLEASE COMPLETE ALL QUESTIONS Title of 1. Study: Start date: (dd/MM/yyyy) End date: (dd/MM/yyyy) Researcher’s Details Title: Mr/Mrs/Miss/Ms/Professor/Dr School: Department: 2. Address: Tel: Email 3. Are student researchers involved with this project? Yes No Is the study based solely on questionnaires, or other research not involving invasive 4. Yes No techniques or medicinal products? Please estimate numbers of volunteers participating in the study: Adults Minors * Patients Healthy human volunteers * Minors under 18 years of age Is this a Multi Centre Trial? Yes No 5. If yes and the trial is to be sponsored by LU or managed by LU, please estimate numbers of volunteers participating in the study overall: Adults Minors Patients Healthy human volunteers 6. Does the study involve invasive techniques? Yes No Does the study involve the use of a medicinal product or the testing of a medical Yes No device? 7. IF AN INVESTIGATIVE MEDICINAL PRODUCT IS INVOLVED Phase 1, 2, 3, 4 Please indicate which phase category the study falls into Who is the Funder? 8. Will any part of this take place outside the UK? Yes No If Yes, in which country(ies)?
Research Sponsorship Application for Projects Requiring Approval by NHS Ethics Committee and Involving Research on Human Subjects, their tissues, organs or data, by Staff and/or Students of Loughborough University The project must not commence until insurance, ethics approval and sponsorship are obtained PART A - PLEASE COMPLETE ALL QUESTIONS 1. Title of Study: Start date: (dd/MM/yyyy) End date: (dd/MM/yyyy) Researcher’s Details 2. Title: Mr/Mrs/Miss/Ms/Professor/Dr School: Department: Address: Tel: Email 3. Are student researchers involved with this project? Yes No 4. Is the study based solely on questionnaires, or other research not involving invasive techniques or medicinal products? Yes No 5. Please estimate numbers of volunteers participating in the study: Adults Minors * Patients Healthy human volunteers * Minors under 18 years of age Is this a Multi Centre Trial? Yes No If yes and the trial is to be sponsored by LU or managed by LU, please estimate numbers of volunteers participating in the study overall: Adults Minors Patients Healthy human volunteers 6. Does the study involve invasive techniques? Yes No 7. Does the study involve the use of a medicinal product or the testing of a medical device? Yes No IF AN INVESTIGATIVE MEDICINAL PRODUCT IS INVOLVED Please indicate which phase category the study falls into Phase 1, 2, 3, 4 8. Who is the Funder? Will any part of this take place outside the UK? Yes No If Yes, in which country(ies)?
Research%20Sponsorship%20Application%20Form.docx