Section 1 – Applicant details
Identify which of the Categories this proposal can be classified:
A1 For information only (approved externally i.e. MoD) or public data
(If yes, please state the name of the external ethics committee)..
A5 Interventions A6 Invasive e.g. Protein/Omega 3 tablets
A7 Random Controlled Trials
NB: If A7 is ticked you will also need to tick A2, A3, A4 or A5 as appropriate
NB : Start date must be after approval letter has been released
Section 2 – Details of proposed study
If you have answered AGREE to any of the questions above, then no further information is required. Please complete Section 9 and sign the declaration in Section 10. (E-signature required)
Section 4 – Research Methods and Design
Section 5 – Research Participants
Section 6 – Safety and legal issues
Section 7 – Research Collaboration
*Please submit copies of these forms with this application
If you have answered No to any of the questions above, please explain below:
Section 9 – Other Ethical Issues – to be completed by all applicants
Section 10: Declaration – to be completed by all applicants
Applicants should read and sign the following declaration before submitting the application.
Please ensure that you have read and understood the relevant Code(s) of Ethics appropriate to your research field and topic.
In signing this research ethics declaration I am confirming that:
I have read and understood the relevant Code(s) of Ethics appropriate to my research field and topic.
The research ethics application form is accurate to the best of my knowledge and belief.
I have read and understand the University’s Code of Practice For Research: Principles and Procedures
I agree to abide by the research ethics applicable to the project and which are listed above.
I understand that it is my responsibility to ensure that the research is conducted in accordance with my professional/statutory/regulatory body Code of Conduct/Code of Ethics/Research Governance Framework.
There is no potential material interest that may, or may appear to, impair the independence and objectivity of researchers conducting this project.
I have received and will submit evidence of authorisation from the relevant authorities to carry out the research with this application – if applicable.
I agree to inform my Supervisor/School/Institute or Departmental Research Ethics Committee of any adverse effects.
I understand that the project, including research records and data, may be subject to inspection for audit purposes at any time in the future.
I understand that personal data about me contained in this form will be held by those involved in the ethics approval procedure and that it will be managed according to Data Protection Act principles.
I will notify my Supervisor/School/Institute or Departmental Research Ethics Committee of any proposed changes to this methodology. Use Amendment form D, or Extension form E where appropriate.
I have seen and signed a risk assessment for this research study (if applicable).
For supervisors:
I confirm that I have reviewed all the information submitted with this research ethics application.
I also accept responsibility for guiding the applicant so as to ensure compliance with the terms of the protocol and with any applicable Code(s) of Ethics.
I understand that research/data may be subject to inspection for audit purposes and I agree to participate in any audit procedures required by the University Ethics Committee (UEC) if requested.
I confirm that it is my responsibility to ensure that students under my supervision undertake a risk assessment to ensure that health and safety of themselves, participants and others is not jeopardised during the course of this study.
I have seen and signed a risk assessment for this research study (if applicable).
Principle Investigator/Supervisor signature:
Print name:
Print name:
Please submit to your relevant School/Institute or Departmental Research Ethics Committee.
Please attach the following documents:
Participant Information Sheet
Written Informed Consent Sheets
Written debriefing Sheet (if applicable)
Completed risk assessment form (if applicable)
Copy of questionnaire/interview guide/details of materials for data collection
