7.  The University of Phoenix Institutional Review Board (IRB ) exists to ensure university compliance with federal regulations regarding research involving human subjects.  This application is used to facilitate and document this compliance review.  Research projects which meet the federal definition for research and the federal definition of human subjects must be approved by the University of Phoenix IRB before any data collection begins.  If an IRB application is approved by the IRB and, later, the nature of the research design, requirements, or site locations change, a revised application describing these changes must be submitted for reconsideration and approval by the IRB.  This application is intended as a stand alone document, so reference to other documents or appendices of dissertation proposals or other research studies does not substitute for direct provision of that information as part of this application, either as a response within a section or as an addendum.  This application pertains to both pilot studies and full studies.  Please note that it is the researcher’s responsibility to give complete and accurate information about the nature of the proposed study, particularly in terms of the effects on, and expectations for, subject participants.  Please note that you must document currency in CITI certification as part of this application.   Informed Consent : Briefly explain and address the following questions.        a)  How will subjects be informed of the study’s purpose, procedures, intent, duration of the study and any            potential risks or discomforts to them?  Check all that apply:            ( ) Informed Consent form  ( ) Email  ( ) Letter  ( ) Meeting ( ) Phone Call ( ) Other _______       b)  How will subjects be informed of withdrawal procedures? Check all that apply:            ( ) Informed Consent form  ( ) Email  ( ) Letter  ( ) Meeting ( ) Phone Call ( ) Other _______      c)  How will the researcher contact information be provided to the subjects? Check all that apply:           ( ) Informed Consent form  ( ) Email  ( ) Letter  ( ) Meeting ( ) Phone Call ( ) Other _______      d)  How will subjects withdraw from the study as participants after data collection is completed? ( ) Email the researcher    ( ) Phone call to researcher    ( ) Submit withdrawal form           ( ) Other (please specify) ___________________________________________________________      e)  Please explain what subjects must do to withdraw from the study after data is collected and how subject data           will be retrieved and handled to ensure security and confidentiality.     f)  If any subjects are under the age of 18 years, parental consent is required.  What provision is made to         answer any questions the parents have about this study or to address any individual concerns?  (For example,         will there be an informational meeting with the parents, etc.?) If this scenario does not app.

1. 7.
The University of Phoenix Institutional Review Board (IRB
) exists to ensure university compliance with federal regulations
regarding research involving human subjects. This application
is used to facilitate and document this compliance review.
Research projects which meet the federal definition for research
and the federal definition of human subjects must be approved
by the University of Phoenix IRB before any data collection
begins. If an IRB application is approved by the IRB and, later,
the nature of the research design, requirements, or site locations
change, a revised application describing these changes must be
submitted for reconsideration and approval by the IRB. This
application is intended as a stand alone document, so reference
to other documents or appendices of dissertation proposals or
other research studies does not substitute for direct provision of
that information as part of this application, either as a response
within a section or as an addendum. This application pertains
to both pilot studies and full studies. Please note that it is the
researcher’s responsibility to give complete and accurate
information about the nature of the proposed study, particularly
in terms of the effects on, and expectations for, subject
participants. Please note that you must document currency in
CITI certification as part of this application.

2. Informed Consent
:
Briefly explain and address the following questions.
a) How will subjects be informed of the study’s purpose,
procedures, intent, duration of the study and any
potential risks or discomforts to them? Check all that
apply:
(
) Informed Consent form (
) Email (
) Letter (
) Meeting (
) Phone Call (
) Other _______
b) How will subjects be informed of withdrawal
procedures? Check all that apply:
(
) Informed Consent form (
) Email (
) Letter (
) Meeting (
) Phone Call (
) Other _______
c) How will the researcher contact information be provided
to the subjects? Check all that apply:
(
) Informed Consent form (
) Email (
) Letter (
) Meeting (

3. ) Phone Call (
) Other _______
d) How will subjects withdraw from the study as
participants after data collection is completed?
(
) Email the researcher
(
)
Phone call to researcher
(
)
Submit withdrawal form
(
) Other (please specify)
_____________________________________________________
______
e) Please explain what subjects must do to withdraw from
the study after data is collected and how subject data
will be retrieved and handled to ensure security and
confidentiality.
f) If any subjects are under the age of 18 years, parental
consent is required. What provision is made to
answer any questions the parents have about this study or
to address any individual concerns? (For example,
will there be an informational meeting with the parents,
etc.?) If this scenario does not apply to this study,
please indicate “Not applicable” here.

4. PLEASE PROVIDE HERE (OR AS AN ADDENDUM TO
THIS APPLICATION) ANY ADDITIONAL INFORMATION
OR EXPLANATION THAT YOU THINK MAY BE
HELPFUL TO THE IRB REGARDING ANY OF THE ABOVE
QUESTIONS OR ABOUT THE INFORMED CONSENT
FOR YOUR RESEARCH STUDY.
PLEASE READ AND CONFIRM THROUGH CHECK
MARKING THE BOXES BELOW:
I attest that no primary data collection from human subjects
will occur without a prior signed Informed
Consent form completed for each subject and that
Informed Consent documentation will be retained
separately from study data.
I attest that a process for subject withdrawal will be
implemented whereby subjects may withdraw without
penalty before, during and after data collection has
been completed and submitted and that the
information they provided will be identified, secured,
withdrawn and kept confidential.
8.
Confidentiality and Privacy:
Briefly explain and address how the identity and privacy of the
individual subjects will be protected. Check any of the
following that apply:

5. a) How will subject identity and data be protected?
(
) Subject names will not be used or identified
(
) Pseudonyms or numbers will be used instead of subject
names
(
) Data will be coded alphanumerically
(
) Other (please specify)
________________________________________________
b) Will any audio and/or video tape or other recording of
data be done in this study?
(
) Yes (
) No
c) How long will the study data be kept after study
completion?
(
) Three years (please note this is the minimum required
retention time)
(
) More than three years
d) Where will the data be stored:
(
) In an office or other location at the researcher’s residence
(
) At an office at the researcher’s place of employment
(
) At a third party facility (please specify)
________________________________
(

6. ) Other (please specify)
______________________________________________
e) How will data be destroyed at the appropriate time?
(
) Shredding (
) Burning or incineration (
) Smashing (
) File Deletion
(
) Other (please specify)
______________________________________________
f) How will the results of this study be disseminated?
(
) Publication (
) Presentation (
) Other _____________________________
PLEASE PROVIDE HERE (OR AS AN ADDENDUM TO
THIS APPLICATION) ANY ADDITIONAL INFORMATION
OR EXPLANATION CONCERNING THE ABOVE THAT YOU
THINK MAY BE HELPFUL TO THE IRB REGARDING
CONFIDENTIALITY AND PRIVACY CONCERNS
ASSOCIATED WITH YOUR RESEARCH STUDY.
PLEASE READ AND CONFIRM THROUGH CHECK
MARKING THE BOX BELOW:
I attest that the data from this research will be kept in a
secured location for at least three years following
study completion, and then will be permanently
destroyed.