Qualitative Research Ethics Approval Request Form

1. Applicant Information

Name Department/Affiliation Email Phone

2. Project Information

Project Title Supervisor Purpose of the Research Methodology and Methods Estimated Number & Type of Participants

3. Ethical Considerations

Participant Recruitment (including any incentives, if applicable) Informed Consent Process Potential Risks and How They Will Be Minimized Confidentiality and Data Storage Procedures Right to Withdraw

4. Additional Information

Other Relevant Information

Date Applicant Signature