Instructor-Led (Course-Based) Research Form | Research Office

I. Contact and Course Information

Date *

yyyy-mm-dd

Instructor Name *

Email Address *

Course Name *

Course Term & Year *

Assignment Title *

II. TCPS 2 CORE Tutorial

Instructors must complete the online tutorial TCPS 2: CORE (Tri-Council Course on Research Ethics) and submit the certificate to the chairperson of the REB. Students do not complete the TCPS 2 CORE tutorial for instructor-led assignments.

TCPS 2 CORE certificate has been submitted to the CMU REB previously TCPS 2 CORE certificate will be submitted immediately following this application

III. Purpose of the Assignment

Describe the purpose of the assignment. *

IV. Process Used to Complete the Assignment

Include brief description of the step-by-step process including recruitment, consent, data collection and analysis, presentation of results (they must not extend beyond the class), and any other key steps. *

V. Human Participants

a) Describe the assignment participants. *

b) How will participants be identified and recruited? *

c) Will this assignment involve participants who are not legally or practically able to give valid consent to participate (e.g., under the age of 18)? *

Yes No

If yes, indicate how recruitment will occur through those authorized to speak for them.

d) Are participants from a population that may be marginalized or vulnerable in the context of this research *

Yes No

If yes, please explain how you (as instructor) will ensure students conduct their work so participants do not feel pressure or obligation to participate, and how you will handle other potential vulnerabilities.

e) Are the students (or the instructor) in any kind of conflict of interest relationship with potential participants (e.g., family members, employers/employees, employees of family members)? *

Yes No

If so, provide an explanation of how anticipated conflicts of interest will be handled or mitigated.

f) Will this assignment involve research being conducted in a setting which requires their own ethical or impact review (e.g., distinct populations, schools, clinics, organizations, churches)? *

Yes No

If yes, what are these settings? Please contact the REB chairperson to discuss.

g) Will this assignment involve a focus on First Nations, Inuit, and/or Métis Peoples of Canada? *

Yes No

If so, please contact the REB chairperson to complete a form for Research Involving First Nations, Inuit, and Métis Peoples of Canada.

h) How will the identity or research participants be protected during and after the assignment? *

i) How and when are participants informed of their right to withdraw from the research? Please indicate what will be done with participant data after withdrawal. *

VI. Privacy and Confidentiality

Are there conditions in which the privacy or confidentiality cannot be guaranteed (e.g., focus groups)? *

Yes No

If yes, please explain the precautions the students will take to protect privacy and confidentiality.

VII. Consent Process

Will students use the CMU Consent Form (or the template adjusted by the instructor to reflect the course-based nature of the assignment)? *

Yes No

If the CMU Consent Form is modified, please email a copy of the modified form after submitting this application.

VIII. Other

Are there any anticipated risks, or risks that you may be concerned about? *

Yes No

If yes, please explain.

IX. Research Instruments

Please list all research instruments students will use. *

Include an attachment of standard instruments the class will use. Do not include student-specific instruments (e.g., specific questionnaires or interview guides). The course-based approval recognizes the expertise of the instructor to lead the students in the design of these instruments.

Security Confirmation