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Form 6 APPLICATION FOR RESEARCH ETHICS REVIEW

The document outlines an application for research ethics review at Davao Oriental State University. It requests information about the research project such as the title, researchers, funding, methodology, and requires signatures and approval. Upon completion, the application aims to obtain an ethical clearance to begin the research.

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248 views2 pages

Form 6 APPLICATION FOR RESEARCH ETHICS REVIEW

The document outlines an application for research ethics review at Davao Oriental State University. It requests information about the research project such as the title, researchers, funding, methodology, and requires signatures and approval. Upon completion, the application aims to obtain an ethical clearance to begin the research.

Uploaded by

petbensilva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DAVAO ORIENTAL STATE UNIVERSITY

Research Ethics Office

DOrSU-REO Form 6

Version: 1 APPLICATION FOR RESEARCH ETHICS REVIEW


Date of Effectivity:02/09/2022

Project Title:

Section 1. ADMINISTRATIVE INFORMATION


Principal Investigator

Name

Department/Office

Email

Please list all co-investigators (the


research team)

Has the project undergone an ethics


review? If yes, please indicate the
name of the organization that
reviewed it and address
Source of funding (if any)

Planned start date Planned end date


(month/year)

Section 2. PROJECT DESCRIPTION


2.1. Introductory Summary: (maximum of 250 words) (Please provide the rationale and purpose of the
study here)

2.2. Study Design


Please indicate the following:
 The research question or objectives
 Justification for the study
 The plan for data collection and data analysis
 Whether the study to be reviewed is a pilot study or a fully developed project
 Whether the study to be reviewed is a phase of a larger project or is the whole project. If it is a phase of a
project, briefly describe the larger project – its rationale and aims
2.3. Description of the methodology
Please indicate:
 Where the research will be conducted
 If humans will be studied, indicate what they will be made to do. If subjects are animals, what will be done
on them?

Attachments to this Application


Please check if the following documents are attached to this application:
Full Research Proposal including instruments used (e.g., survey questionnaire, interview guide, interview
schedule)
Informed Consent Form (if a recorded informed consent is to be obtained)
Curriculum Vitae or any document that provides information on the researchers’ history of research activities
(including past publications, presentations and other projects involved in).
Guardian or Parental consent (if the participant who have not attained the legal age for consent or is
considered competent to provide consent)
Accomplished General Research Ethics Checklist
Accomplished specific checklists (only those applicable to the proposal)

DECLARATION
I certify that I have read and understood the Standard Operating Procedure of the Research
Ethics Office for the Responsible Conduct of Research and will abide by the ethical
principles in this document. I will submit a final report of the proposed study to the DOrSU-
Research Ethics Office (REO) and will not commence with data collection until I receive an
Ethical Clearance from the REO.

__________________________________________
_____________________
Name and Signature of Principal Investigator Date

Mentor’s Approval

FOR GRADUATE and UNDERGRADUATE DOrSU STUDENTS ONLY


I confirm that the student(s) is/are capable of undertaking this research in a safe and ethical manner.

_____________________ _____________________ __________


Adviser’s Name Signature Date

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