ࡱ> Y[Xa jbjb11 (L[[ 0       @8D@@P((((yHacccccc,R"E   (( ( (a2    a   gN0 @@@@Marietta College Human Subjects Committee PROPOSAL EVALUATION FORM This page is to be completed by HSC members, although investigators may use it as a guide for submission of materials. Principal Investigator(s): FORMTEXT      HSC # FORMTEXT      Date Submitted (MM/DD/YY): FORMTEXT      Form Submitted: FORMCHECKBOX  Short  FORMCHECKBOX  Long Materials Needed. Identify materials that were not received, but are necessary for evaluation.  FORMCHECKBOX Informed consent form FORMCHECKBOX Letters of permission FORMCHECKBOX Tests/surveys/questionnaires FORMCHECKBOX Recruiting ads FORMCHECKBOX Training certificate(s) FORMCHECKBOX Additional items (specify)  FORMTEXT       Additional criteria for approval: YESNON/A1. The appropriate review form is used (i.e., short vs. long). FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 2. All information requested on the review form is complete and clearly stated. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 3. The submission date is at least two weeks prior to the proposed start of data collection. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 4. For student projects, an e-mail stating support for the research was received from the faculty advisor. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 5. The risks and benefits of the study are judged to be acceptable in relation to the studys goals, and are clearly stated in the consent form. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 6. If deception will be used, the type and level is acceptable for the research study, and is adequately justified by the investigator(s). FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 7. The informed consent form contains all required information. If no consent form is provided, a request for a waiver is included. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 8. The review form and supplemental materials (consent form, etc.) are free of spelling and grammatical errors that interfere with comprehension. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 9. Recruiting advertisements are appropriate and indicate that the project was approved by the ݮƵ Human Subjects Committee. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  Approval Decision:  FORMCHECKBOX  The proposed research is approved. The investigator(s) may proceed with data collection. This approval expires on  FORMTEXT       (3 months past the projected end of data collection).  FORMCHECKBOX  The proposed research is denied. Reason(s) for denial are listed below. The investigator(s) may not begin data collection until a revised and resubmitted HSC proposal is approved. 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H I @ $$w@ 00 0@00UnknownGTimes New Roman5Symbol3 Arial"1h÷F÷Fk&  !x4d 3QHX ?J:qMarietta CollegeInformation Technology Frank Diller Oh+'0 (4 T ` l x'ݮƵInformation TechnologyNormalFrank Diller2Microsoft Word 11.3.5@F#@aY@LB+@LB+  ՜.+,0 hp  'ݮƵ  ݮƵ Title  !"#$%&()*+,-./012345679:;<=>?@ABCDEFGIJKLMNOQRSTUVWZRoot Entry F1C \Data '2 1Table8WordDocument(LSummaryInformation(HDocumentSummaryInformation8PCompObjXObjectPool1C 1C  FMicrosoft Word DocumentNB6WWord.Document.8