Unaffiliated Investigator Access Request Form - Formstack

About the Researcher

External Researcher's Name*

First Name

Last Name

Email*

Phone*

Name of Home University, Institution or Agency

Email Address of Home IRB

Phone Number of Home IRB

Project/Research Title:

Request Type

Conduct research with CPP subjects Conduct research with CPP existing data

Please check the following box(es)

A brief description of your research & justification for recruiting subjects from CPP, or using CPP existing data

How will this research benefit CPP subjects?

Additional Note to IRB

Required if there are no supporting documents

Upload 'Approved Protocol'

No File Chosen

File uploads may not work on some mobile devices.

Upload 'Approved Consent Forms'

No File Chosen

File uploads may not work on some mobile devices.

Upload 'Surveys'

No File Chosen

File uploads may not work on some mobile devices.

Upload 'Interview Guides'

No File Chosen

File uploads may not work on some mobile devices.

Upload 'Recruitment Flyer' or 'Recruitment Emails'

No File Chosen

File uploads may not work on some mobile devices.

Appropriate permission/support letters from the CPP department that you wish to recruit participants from

No File Chosen

File uploads may not work on some mobile devices.

(e.g. Department of Psychology Subject Pool)

For permission to recruit in-person or post flyers on campus, please contact the Office of Student Life &Cultural Centers at osl@cpp.edu 909-869-2841.

Campus Co-PI

All fields in this section are required. Please make sure to fill out all the ones that are marked with (*)

Name*

First Name

Last Name

Title*

Co-PI Email*

Confirm Co-PI Email *

* must use CPP email

Phone*

7. Select all types of support the Co-PI will provide*

Personnel (students, faculty, staff) Recruitment / Distribution of Recruitment Materials Conducting Research

Other:

If you have any questions or need any assistance, visit CPP IRB website, email IRB-office@cpp.edu, or call 909- 869-4215.