IRB Questionnaire

This form is designed to facilitate the submission process of research proposals that may not require an extended review process by the Rivier Institutional Review Board (IRB). The form should take no more than 5 minutes to complete. Please answer all questions to the best of your ability and you will receive notification about the status of your proposal within a few days. All questions with red asterisks are required.

*Title of the proposed research:

*Briefly describe the goal(s) of the proposed research study.

*Name:
What is your full name?

Please type the full names of all other researchers associated with this proposal (please separate names using a comma or semi-colon).

*Role:
What is your primary role/relationship to the proposed research study?

Principal Investigator (P.I.)

Researcher

Lab Assistant

Other

*Status:
How would you characterize your status at the College?

Rivier Faculty/Staff

Rivier Ed.D. Student

Rivier M.A./M.S. Student

Rivier Undergraduate Student

Student (Non-Rivier)

Researcher (Non-Rivier)

Other

*Email:
What is the primary email address where you can be contacted?

420 South Main Street Nashua NH, 03060 1.800.44.RIVIER (603) 888-1311