External research application

University Ethics Clearance No. (if applicable)

Short project title (up to 20 words)

Provide in the space provided a summary of the project indicating why it is of significance. This statement must be written in a style understandable to the intelligent lay reader (up to 200 words)

Explain briefly the main scientific objectives and/or hypotheses of your study (up to 200 words)

Describe the subject group you will use (up to 100 words)

Why have you chosen this group? (up to 100 words)

How will you recruit your subjects? (up to 50 words)

State the number of subjects to be recruited (up to 50 words)

What is your relationship with the subject group? (50 words)

Explain your experimental procedure (up to 200 words)

Is there any risk of embarrassment, fear, anxiety, or other emotional distress for subjects in this project?*

Yes

No

Please provide details:

Are you taking any physical or psychological measurements of subjects?*

Yes

No

Please provide details:

Are you using any information sheets?*

Yes

No

Are you using consent forms?*

Yes

No

Are you administering a questionnaire to subjects?*

Yes

No

Will names, identifiers, or other personal information be required from the subjects?*

Yes

No

Please provide details:

What procedure are you using to provide feedback to subjects on the overall results of the project? (up to 100 words)

What information/reports will be presented to the School? (up to 100 words)

Are there any other possible ethical or legal issues raised by your project that have not been mentioned?*

Yes

No

Please provide details:

Does your project use any form of deception? If so, explain why deception is needed. *

Yes

No

Please provide details:

Is the proposed project likely to be the subject of subsequent development and/or commercial value?*

Yes

No

Please provide details:

Please indicate likely publications and conference presentations arising from the research (up to 100 words)

Please indicate the timeline for your research activities at Abbotsleigh (up to 100 words)

Please list the Abbotsleigh staff who will be involved in your project

I/We certify that all the details in this application are correct*

Yes

No

I/We understand that research must be conducted in accordance with Abbotsleigh’s Research Policy and specifically that clearance for research involving humans, animals and/or safety implications must be obtained before the research commences*

Yes

No

I/We declare that all persons listed as external investigators have agreed to take part in the proposed research*

Yes

No

I/We agree to the proposal(s) relating to publication as written in this document*

Yes

No

I confirm that I have read, understood and will abide by the above certification*

Yes

No

External research application

Applicant details

Supervisor details

Project details