SUNY-Oneonta Department of Psychology (revised 1/03)

PROPOSAL FOR RESEARCH INVOLVING HUMAN SUBJECTS

1.  Title of study:
                                 Number (assigned by Psychology Department):
 
2.  Context:  [     ] Coursework [     ] Independent Study [     ] Other (describe)

3.  Investigators:
 

4.  Objective(s) of study: (use separate sheet if more space is required)
 

 
 
 
 
 
 
 
 

5.  Procedures: (use separate sheet if more space is required)
 
 

 
 

 
 
  
 
 
 
 
                                                                                                9.  Signatures:

6.  Subjects: 9(a):  Investigators
 
 
 
7.  Consent forms attached:

 

 9(b):  Faculty Sponsor
8.  Anticipated Final Report to Committee:

 

 9(c):   Department Chair                                                    (date)