Environmental Science Study Ethics Committee Review Form

Project Information

Project Title Principal Investigator Affiliated Institution Email Phone Co-Investigators

Study Details

Study Purpose Methods and Procedures Data Collection Location(s) Estimated Start and End Dates

Ethical Considerations

Potential Environmental Impact Risk to Human Participants (if any) Risk to Non-Human Species Data Privacy and Confidentiality Measures

Consent and Permissions

Will informed consent be obtained? Yes No Not Applicable Permits or Approvals Required

Committee Use Only

Reviewer Name Review Date Comments Decision Approved Approved with Conditions Not Approved