/ Institutional Review Board (IRB)

Office for Pre-Award and Compliance Services

MSC 100B - (Phone) 437-3850 (Fax) 437-3855


Version 01.19.17

research conducted on ualbany campus or classroom
(do not leave any questions blank, indicate n/a when necessary)

Note: Unless the research participants are drawn for the Psych 101 pool, the Office of Institutional Research, Planning and Effectiveness must also approve research conducted on the UAlbany campus or in a UAlbany classroom. Information may be found on its website: http://www.albany.edu/ir/ or by contacting IRPE at 437-4791 or by email at .

1. Identify the UAlbany population that will be invited to participate in the research:

2. Specify how potential participants will be identified and recruited (e.g. listservs, names provided by UAlbany administration, department affiliated students, campus organization, etc.): Include a copy of all recruitment materials with this protocol (e.g. scripts, email text, letters, etc.)

3. Will research be conducted in a UAlbany classroom?: Yes* No

*If YES, will students be offered extra credit for participation: Yes No

*If YES, indicate the amount of credit that will be offered:

*If YES, provide a description of an alternative activity that will be offered to those who do not wish to participate:

4. For research conducted in a UAlbany classroom, organization or group, you are required to obtain written permissions to present your research*. Identify the groups, professors or administrators from which you are required to seek permission to gain access to your intended research population:

*These permissions must be obtained prior to beginning your research and must be kept with your research records. Approvals do not have to be submitted to PACS.

5. Describe your relationship with those being recruited (e.g., are the students from a class you are teaching?):

6. Include additional information, data or comments that you feel are necessary to be considered when evaluating your proposal involving the University at Albany campus or classroom.

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