IRB Forms

Note: IRB forms are grouped in 3 tables below: IRB applications, IRB consent/assent forms, and additional IRB-related forms such as template letters of agreement. Please contact Robin (262-2692) or irb@appstate.edu if you have any questions.

Please click the following link to be directed to the online system, IRBIS, where you will be able to complete an online application: https://appstate.myresearchonline.org/irb/

Research Protections regularly reviews and updates these forms in an effort to improve usability and IRB review turnaround times. If you keep copies of the forms on your local drive, please visit this site periodically to ensure you have the latest versions.

Exemption Forms

Form Purpose Version Date
Consent form for exempt research (docx 21.27 KB)

This consent template can be used for all exempt research procedures, including interviews where there is no recording.  Exempt research conducted under the education category should use parent and/or student consent forms.

If you are conducing recorded interviews or focus groups, please use the appropriate templates in the Consent section of this page (scroll down).

Remove all red and italicized text after completion.

12/18/2013

Consent Forms

Form Purpose Version Date
Assent Form for Minors (doc 33.5 KB)

Used when participants are under the age of 18 years but capable of reading and understanding the study (e.g., participants age 7-17).  May also be used for populations with English literacy challenges (the IRB must approve).

09/14/2015
Biomedical Research Consent Form (doc 87 KB)

Use this form for biomedical research, including approved wording for frequently used procedures.  Updated October 2014 to change contact information.

09/14/2015
Focus Group Participation (doc 42 KB)

Used when research activities include only focus groups of participants or a subset of participants.  Addresses confidentiality and photography/videography.  Can be used for exempt focus group research.  Form was updated October 2014 to change contact information.

10/10/2014
Interview Consent Form (doc 38.5 KB)

Used for interviews (audio or video recorded) of participants.  Can be used for exempt interviews.  Updated March 2014 for formatting.

08/15/2014
Social Behavioral Education Research Consent Form (docx 64.03 KB)

Covers all non-biomedical research including combination activities such as survey/test/interview.  Updated March 2014 to include language for Psychology Pool (SONA) recruitment and extra credit.

Updated February 2014 for formatting and include language around use of photographs. 

09/14/2015

Additional IRB Related Templates and Forms

Form Purpose Version Date
Exercise Screening Tool - ASU (doc 36 KB)

Used to screen participants for studies involving exercise. The American College of Sports Medicine criteria for risk is included so that investigators can determine which participants are classified as "low risk" for physical activity.

01/14/2011
Letter of Agreement (doc 28.5 KB)

Used when another organization is involved in recruiting participants/allowing access to participants/allowing access to data.

07/30/2010
Letter of Agreement for Using Student Data (doc 29 KB)

Used when Appalachian student records data is used for research purposes. Explains protections in place as required by FERPA.

08/19/2010

Contact

Director of Research Protections
Robin Tyndall
828-262-2692
tyndallrs@appstate.edu

Assistant Director of Research Protections
Monica Molina
828-262-4060
molinamm@appstate.edu

Assistant Director of IACUC and IBC Programs
Shante' Mathes
828-262-2901
mathessc@appstate.edu

Compliance Coordinator
Dennis Gabriels
828-262-2721
gabrielsdl@appstate.edu

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