ApplicationSupplement

Non-English Speaking

Instructions:

  • Please read all the instructions carefully.
  • This form is not compatible with versions of Microsoft Word 2003 or older. Please contact us if you’re having trouble with compatibility and formatting, so that we can figure out a solution together.
  • To receive a copy of a web disability accessible version of this form, please call the Office of Research and Sponsored Programs at (360) 650-2146 or email .
  • Do not edit or delete any portion of this form, except to delete this initial instructions page for submission or to add rows to tables as needed. Applications with sections removed or instructions edited will be returned.
  • Answer all questions. If a question is not applicable to your research, state “NA.” If you leave the question blank the IRB has no way of knowing whether that question was skipped or accidentally overlooked.
  • Use non-technical language as much as possible, spelling out all new acronyms and explaining any field-specific jargon. Assume that the IRB is not familiar with your field of research.
  • Materials should be typed, not handwritten, with the exception of application signatures.
  • To add text, click on the grey box in each field and begin typing.
  • When completed, attach this supplement to your email when submitting your application.It can be in the form of a PDF or as a Word document.

DO NOT SUBMIT THIS INSTRUCTION PAGE

ApplicationSupplement:

Non-English Speaking

1. Investigator Information

This information is repeated from your application in the event that your supplement is separated from your application.

Lead Investigator
First Name: / Phone:
Last Name: / Email:
1.2 Study Title:

2. Translation & Comprehension

2.1. English Language Proficiency: Select all of the following below that apply to your subject population.
☐ / Subjects will not be able to speak English
☐ / Subjects lack fluency or literacy in English
2.2. Researcher Language Proficiency:Are any of the researchers on the application proficient in the primary language of your subject population?
☐ / No
☐ / Yes
2.3. Interpretation: Describe how you will provide interpretation, including the qualifications of the interpreter(s).
2.4. Translation: Describe how you will obtain translations of your study materials and ensure that the translation is accurate and appropriate.
2.5 Comprehension: Describe how you will ensure that subjects will fully understand the study procedures and consent process.
APPLICATION SUPPLEMENT: Non-English Speaking
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