/ SUNY Downstate Medical Center
University Hospital of Brooklyn
College of Medicine
College of Health Related Professions
College of Nursing
School of Graduate Studies
Graduate Program in Public Health / IRB Committee A
OHRP Federal Wide Assurance
(FWA) #: 00003624
OHRP IORG #: 0000064
OHRP IRB #: 00000088

Attendance Sign-In Sheet for IRB Meeting Date: ______

By signing below, I agree to keep proprietary and confidential information presented at the IRB meeting confidential and will not use it in any way. All such information (and any copies and notes thereof) shall remain the sole property of SUNY and the obligation of confidentiality shall last indefinitely. This Agreement shall be interpreted and enforced in accordance with the laws of the State of New York, regardless of any choice of law principles.

Primary / Alternate(s)
______Phyllis Supino, Ed.D.
Chairperson
______
Daniel Cukor, Ph.D.
Vice-Chair
______
* ~Noreen Bhola, M.S.A. / ______
1)*Kevin L. Nellis, MS, MT(ASCP), CIP
______
2)*Diann Johnson, M.P.H.
______
3)*Danielle Lewis, MD, MPH
______
4) *Nikol Celestine, BA, CIP
______
Jeffrey Birnbaum, M.D. / ______
~^ Nidhi Goel, MD
______
Jeffrey Borer, M.D. / ______
Daniel M. Rosenbaum, MD
______
A. Ross Hill, M.D. / ______
Iuliana Shapira, M.D.

*= Non-Scientist

~= Non-Affiliated

^= Prisoner Rep

Quorum = 7 including one non-scientist. MD must be present for FDA studies.

/ SUNY Downstate Medical Center
University Hospital of Brooklyn
College of Medicine
College of Health Related Professions
College of Nursing
School of Graduate Studies
Graduate Program in Public Health / IRB Committee A
OHRP Federal Wide Assurance
(FWA) #: 00003624
OHRP IORG #: 0000064
OHRP IRB #: 00000088

Attendance Sign-In Sheet for IRB Meeting Date: ______

By signing below, I agree to keep proprietary and confidential information presented at the IRB meeting confidential and will not use it in any way. All such information (and any copies and notes thereof) shall remain the sole property of SUNY and the obligation of confidentiality shall last indefinitely. This Agreement shall be interpreted and enforced in accordance with the laws of the State of New York, regardless of any choice of law principles.

______
Jeannette Jakus, MD, MBA
______
Jean McHugh, MSN, APRN-BC, CNS-BC
______
Joyce Sabari, Ph.D.
______
Tonya N. Taylor, Ph.D., M.S. / ______
Kathleen Powderly, C.N.M., Ph.D.
______
Isaac Topor, Ed. D. / ______
Jeremy Weedon, Ph.D.

*= Non-Scientist

~= Non-Affiliated

^= Prisoner Rep

Quorum = 6 including one non-scientist. MD must be present for FDA studies.

/ SUNY Downstate Medical Center
University Hospital of Brooklyn
College of Medicine
College of Health Related Professions
College of Nursing
School of Graduate Studies
Graduate Program in Public Health / IRB Committee A
OHRP Federal Wide Assurance
(FWA) #: 00003624
OHRP IORG #: 0000064
OHRP IRB #: 00000088

INVITED GUESTS

Attendance Sign-In Sheet for IRB Meeting Date: ______

By signing below, I agree to keep proprietary and confidential information presented at the IRB meeting confidential and will not use it in any way. All such information (and any copies and notes thereof) shall remain the sole property of SUNY and the obligation of confidentiality shall last indefinitely. This Agreement shall be interpreted and enforced in accordance with the laws of the State of New York, regardless of any choice of law principles.

Name (Print) / Department / Signature

SUNY Downstate- RF IRB A 6.1.2017 (Corrected Quorum 06.09.2017)

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