Social Sciences Survey Ethics Application Form
1. Applicant Details
Name
Email
Department / Institution
Role (e.g., Student, Faculty, Researcher)
2. Project Information
Project Title
Supervisor (if applicable)
Proposed Start Date
Project Summary
3. Survey Details
Target Population
Sample Size
Data Collection Method (e.g., Online, In-person)
Attach List of Survey Questions
4. Informed Consent
Describe the Consent Process
Consent Document Provided
5. Data Management & Confidentiality
How will data be securely stored?
Will responses be anonymous?
Yes
No
How will confidentiality be ensured?
6. Potential Risks
Describe any potential risks to participants and how these will be mitigated
7. Additional Notes
Any other information or ethical considerations