Field Study Ethics Committee Review Form
General Information
Study Title
Applicant Name
Affiliation
Email Address
Submission Date
Study Details
Study Objectives
Methodology
Study Location(s)
Participant Population & Sampling
Estimated Duration
Ethical Considerations
Informed Consent Procedures
Potential Risks to Participants
Risk Minimization Measures
Privacy & Confidentiality Protections
Data Management & Storage
Potential Benefits of Study
Additional Comments
Committee Decision
Decision
Approved
Approved with Conditions
Rejected
Refer to Full Committee
Reviewer Comments
Reviewer Name
Review Date