Forms and Templates

The IRB Research Proposal Form below must be submitted to the IRB along with the participant or parental Informed Consent form and necessary additional form as required for your participant population. Please make sure to thoroughly review the Application Process and the Writing a Proposal sections of this website before completing these forms to ensure that you meet all requirements for a valid research proposal.

IRB Research Proposal Form (updated 12-14-11)

Download the .docx version
Download the .doc version

IRB Research Proposal Form For Research Approved by Another Institution (updated 8-14-12)

Download  Directions

Consent Forms

Please see also the informed consent document toolbox for more sample language.

Participant Consent Template, Anonymous and Confidential Research
Download   Directions

Participant Consent Template with Waiver of Confidentiality
Download   Directions

Parental/Guardian Consent Template, Anonymous and Confidential Research
Download   Directions

Parental/Guardian Consent Template with Waiver of Confidentiality
Download   Directions

Sample Child Assent Script (ages 6 and younger)
Provide a script showing exactly what you will tell the child about the study, use age-appropriate language. Show your procedure for recording a “yes” or “no” response.
Download

Sample Child Assent Form (ages 7-13)
Modify the sample language as need to create a form with age-appropriate language.
Download

Sample Minor Assent Form (ages 14-17)
Download

Sample Debriefing Form
Download

Sample Research Follow-Up Section
Download

Research Project Continuation/Completion/Change of Protocol Form

This form should be used any time research procedure needs to be changed in any way, or the research simply needs continued review. (IRB approves research for one year at a time.) The form must be submitted and approved by the IRB before the change in protocol can be implemented. A copy of this form is sent out with the annual Continuation/Completion Form request for those research projects approved through full or expedited review.
Download

Deviations from Approved Protocol

See the corresponding section in continuing review for more information.

Adverse/Unanticipated Events Report
Download

Protocol Deviation Report
Download

Research Participant Complaint Form

If you have been a participant in research conducted at Smith College or by a researcher affiliated with Smith College, you have the right to confidentially report an concerns you have about the way the research was conducted or possible misconduct by the researcher. This form can be used for this purpose.
Download