IRB Research Application Form | Butler Community College

Note: IRB approval may be granted for up to one year only. Research continuing more than a year must re-submit for approval each year.

1. Check One: Required New Project Continuing Research Modification to Existing Application Requesting Exempt Status

2. Project Name Required

3. Principal Investigator (PI): Required

4. PI Phone #: Required Help: 555.555.5555

5. PI E-Mail Address: Required

6. Project Type: Required Help: Check One Faculty Research Student Research (under faculty direction) Student class project (under faculty direction) Honors Project Federal grant Non-federal grant Thesis or dissertation Other (explain)

7. If you selected "Other" on the previous question, explain here.

Online forms: IRB Research Application Form

Institutional Review Board Research Application Form