Indiana University South Bend

For all applications you will need to download the appropriate forms into your word processing software. 
To access the forms choose the link below that corresponds to your software package. 

For new exempt research studies, please submit the following forms:

• Exempt Research Checklist
• Study Information Sheet (as appropriate)
• All research instruments, e.g. surveys, questionnaires, etc.
• Conflict of Interest (faculty should complete this on-line here; student can turn in the simpler form here)

For new expedited research studies, please submit the following forms:

• Documentation of Review and Approval
• Expedited Research Checklist
• Summary Safeguard Statement
• Informed Consent Statement, as applicable
• Conflict of Interest (faculty should complete this on-line here; student can turn in the simpler form here)
• Supporting documents, e.g. recruitment materials, surveys, questionnaires, etc.

For new full board studies, please submit the following items:

• Documentation of Review and Approval
• Expedited Research Checklist
• Summary Safeguard Statement
• Informed Consent Statement, as applicable
• Conflict of Interest (faculty should complete this on-line here; student can turn in the simpler form here)
• Supporting documents, e.g. recruitment materials, surveys, questionnaires, etc.

For Termination or continuing review, please submit the following:

Continuing Review/Termination Report

• Amendment Form
• Assent To Participate in Research
• Inclusion of Children in Research
• Inclusion of Cognitively Impaired Individuals
• Noncompliance Reporting Form
• Inclusion of Pregnant Women, Human Fetuses, and Neonates
• Prisoner Request Form