Place on Letter Head

SAMPLE SCHOOL/SITE PERMISSION LETTER

[Place on letter head]

Date

Institutional Review Board

Emory University

1599 Clifton Road, 5th Floor East

Atlanta, GA 30322

To Whom It May Concern:

Researchers at the Emory University _______________(Insert Department)________________

have requested permission to conduct the research project named below at the ____________________(Insert School/Institution Name)_______________ during the period of ____________________ to _____________________. This letter notifies you that I/we grant permission to research staff members of the Emory University ___________(Insert Department)_________ to conduct this research at the location listed below.

Research Project Title: __________________________________________________________

Principal Investigator: ___________________________________________________________

Study Site Location: ______________________________________ (Name)

______________________________________ (Address)

______________________________________

Permission granted by:

_______________________________________________________________________

Name of Individual (print) and Title

__________________________________ _____________________________

Name of Individual (Signature) Date

Emory University IRB 4 8 08