Laboratory-Based Science Study Ethics Application
1. Project Details
Study Title
Principal Investigator(s)
Contact Email
Institution / Department
Proposed Dates
2. Project Summary
Brief Summary of the Study
3. Objectives & Rationale
Study Objectives
Scientific Rationale
4. Participant Information
Type of Participants
Number of Participants
Inclusion/Exclusion Criteria
5. Methods & Procedures
Methods/Procedures
Biological Samples (if applicable)
Storage & Disposal of Samples
6. Risks & Benefits
Potential Risks to Participants
Potential Benefits
7. Confidentiality & Data Handling
Confidentiality Arrangements
Data Storage, Access, & Retention Policy
8. Informed Consent
Describe Informed Consent Process
9. Additional Ethical Considerations
Additional Comments / Ethical Issues