Vulnerable Populations Research Ethics Form

Project Information

Project Title Principal Investigator Institution/Organization Email Start Date End Date

Vulnerable Population(s)

Specify the vulnerable population(s) involved Rationale for involving this population Describe steps taken to minimize risks

Informed Consent

Describe how informed consent will be obtained Will consent be obtained from legal guardians? Yes No Not applicable Additional safeguards for participants

Data Protection

Describe data confidentiality measures How will data be stored and secured? Who will have access to participant data?

Additional Information

Potential risks to participants Steps to mitigate risks Benefits to participants or population Other relevant details