IRB Office use only Date submitted______ Exp. Date_______ FB_____ Exp. ____ BU Charles IRB Continuing Review (Progress Report) SECTION A: PROTOCOL AND CONTACT INFORMATION Protocol Number: Protocol Title: Principal Investigator: (Name, degrees, licenses, etc.): Mr. Ms. Department/School: BU Mailing Address: Email: Telephone: Additional Contact Person: Trial: Telephone: SECTION B: STUDY STAFF AND HUMAN SUBJECTS TRAINING List ALL current members of the research team in the trial below. If you would like to add or remove study staff at this time, please submit the study staff amendment form located at: . BU CHARLES RIVER CAMPUS (CRC) INVESTIGATORS/STUDY STAFF Boston University Medical Campus (BUMC) investigators/study staff should be listed in the Note: NON-BU INVESTIGATOR/STUDY STAFF section Name, Degree, & Study Role (e.g. co-investigator, Human Subjects Training* School research coordinator, research assistant, project manager, lab manager) CITI Most Recent Date Completed: CITI Other**: Most Recent Date Completed: CITI Other**: Most Recent Date Completed:
IRB Office use only Date submitted______ Exp. Date_______ FB_____ Exp. ____ BU Charles IRB Continuing Review (Progress Report) SECTION A: PROTOCOL AND CONTACT INFORMATION Protocol Number: Protocol Title: Principal Investigator: (Name, degrees, licenses, etc.): Mr. Ms. Department/School: BU Mailing Address: Email: Telephone: Additional Contact Person: Telephone: SECTION B: STUDY STAFF AND HUMAN SUBJECTS TRAINING List ALL current members of the research team in the below. If you would like to add or remove study staff at this time, please submit the study staff amendment form located at: . BU CHARLES RIVER CAMPUS (CRC) INVESTIGATORS/STUDY STAFF Note: Boston University Medical Campus (BUMC) investigators/study staff should be listed in the NON-BU INVESTIGATOR/STUDY STAFF section Name, Degree, & School Study Role (e.g. co-investigator, research coordinator, research assistant, project manager, lab manager) Human Subjects Training* CITI Most Recent Date Completed: CITI Other**: Most Recent Date Completed: CITI Other**: Most Recent Date Completed: trial Trial:
CR_Dec_2017.docx