Research Ethics Board

Renewal

The Tri-Council Policy Statement requiresResearch Ethics Boardsto review ongoing studies (over one year). Please note that any changes to an approved proposal that could reasonably be expected to affectthe ethical standards of the research project would requirere-submission for ethics approval.

Instructions: Please complete this form, print it, sign and date it, scan it and submit it as an email attachment to .

The personal information collected on this form will become part of the records held by the Georgian College Research Ethics Board and will be used to assist in the review of your application and provision of services for your study. A copy of this form may be reviewed by external parties in order to meet legislative, audit and/or regulatory requirements. The information is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and in accordance with Sections 38(2) and 41(1) of FIPPA. If you have any questions or concerns about the information collected, please contact the Research Ethics Board at or 705-728-1968 ext. 1774. For more information about FIPPA, please contact the Access and Privacy Office at 705-728-1968, extension 5770 or .

General information

Principal investigator:

Address:

Phone:

Email:

Study title:

Date of original REB approval:

Study abstract:

Project Renewal

Brief summary of study progress:

Activities to be completed:

Date of expected completion:

Are there any changes from the original REB approved application that deviate significantly from the purpose of the study or that potentially could cause harm to study participants?

Yes

No

If yes, please describe:

Have there been any problems with the study that may have negatively affected the participants or the success of the project?

Yes

No

If yes, please describe:

______

Signature of Principal InvestigatorDate

Project Status (to be completed by the Chair of the Research Ethics Board)

Project Renewal Approved

Re-submission of a proposal to the Research Ethics Board is required

______

Signature of Ethics Board ChairDate

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