Genetic Research Ethics Approval Application

1. Applicant Details

Name Institution Department Email Phone

2. Project Details

Project Title Project Summary Objectives Methodology

3. Genetic Material

Type of Genetic Material Source of Material Collection Methods

4. Participants

Number of Participants Inclusion Criteria Exclusion Criteria

5. Consent Process

Description of Consent Process

6. Data Storage & Confidentiality

Data Storage Plan Confidentiality Measures

7. Risks & Benefits

Identified Risks to Participants Expected Benefits

8. Funding & Conflicts of Interest

Funding Source Potential Conflicts of Interest

9. Additional Information

Additional Notes