SECTION A: principal researcher contact details, other researcher(s) contact details, and project description (NB must be typed not handwritten) ** / supervisor (if student research) contact details: 1. Title of person and name: 2. Title and name of student (if student research): 3. Degree programme, e.g. BA, MPhil, BSc, MSc (if student research): 4. Department or Institute name: 5. Address for correspondence (if different from 4 above): 6. University E-mail address: University telephone number: 7. Training in research ethics: please indicate what training you have received with title and date completed () Other researcher(s) contact details (these 6 questions may be duplicated below for each individual): 8. of person (or people) and name(s): 9. Department or Institute name: 10. Address for correspondence (if different from 5 above): 11. University e-mail and telephone contact: 12. Role(s) in project: please give role(s), qualifications and relevant experience and degree course (if relevant): 13. Training in research ethics: please indicate what training other researcher(s) received with title and date completed () Project description 14. Title of research project: 15. List all ** where project will be conducted: Yes No N/A 16. If your research involves overseas travel or fieldwork, by the time the research starts, will you have completed and returned a travel risk assessment form? (This may be necessary to ensure that the activity is covered by the University’s travel insurance see ) – If no or N/A, please give further details: 17. Anticipated duration of project: months or From: (dd/mm/year) 18. Anticipated start and end dates of the project: To: (dd/mm/year) 19. External organisation funding the research (if applicable): 20. Involvement of other ethics committees. Will you submit or have you submitted this project to another ethics committee? Yes No If other relevant approvals for this research are required (e.g. from other universities’ ethics committees) please attach them and give more details below:
SECTION A: principal researcher contact details, other researcher(s) contact details, and project description (NB must be typed not handwritten) ** / supervisor (if student research) contact details: 1. Title of person and name: 2. Title and name of student (if student research): 3. Degree programme, e.g. BA, MPhil, BSc, MSc (if student research): 4. Department or Institute name: 5. Address for correspondence (if different from 4 above): 6. University E-mail address: University telephone number: 7. Training in research ethics: please indicate what training you have received with title and date completed () Other researcher(s) contact details (these 6 questions may be duplicated below for each individual): 8. of person (or people) and name(s): 9. Department or Institute name: 10. Address for correspondence (if different from 5 above): 11. University e-mail and telephone contact: 12. Role(s) in project: please give role(s), qualifications and relevant experience and degree course (if relevant): 13. Training in research ethics: please indicate what training other researcher(s) received with title and date completed () Project description 14. Title of research project: 15. List all ** where project will be conducted: 16. If your research involves overseas travel or fieldwork, by the time the research starts, will you have completed and returned a travel risk assessment form? (This may be necessary to ensure that the activity is covered by the University’s travel insurance – see ) Yes No N/A If no or N/A, please give further details: 17. Anticipated duration of project: months or 18. Anticipated start and end dates of the project: From: (dd/mm/year) To: (dd/mm/year) 19. External organisation funding the research (if applicable): 20. Involvement of other ethics committees. Will you submit or have you submitted this project to another ethics committee? Yes No If other relevant approvals for this research are required (e.g. from other universities’ ethics committees) please attach them and give more details below:
CUREC_2_v1.1.docx