{"id":1110,"date":"2026-09-21T11:11:00","date_gmt":"2026-09-21T15:11:00","guid":{"rendered":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/accessible-docs\/4-human-participants-pdf-8\/"},"modified":"2026-09-21T11:11:00","modified_gmt":"2026-09-21T15:11:00","slug":"4-human-participants-pdf-8","status":"publish","type":"savoy_document","link":"https:\/\/www-lms.stjohns.k12.fl.us\/sciencefair\/accessible-docs\/4-human-participants-pdf-8\/","title":{"rendered":"4-Human-Participants.pdf"},"content":{"rendered":"<h1>Human Participants Form for Research Involving Human Subjects<\/h1>\n<p>This form is required for all research involving human participants. It must be completed by the Institutional Review Board (IRB) before recruitment or data collection. If research is conducted at a Research-Related Institution (RRI), equivalent RRI IRB documentation is required.<\/p>\n<h2>Researcher Information<\/h2>\n<p><strong>Student\u2019s Name(s):<\/strong> ____________________<\/p>\n<p><strong>Title of Project:<\/strong> ____________________<\/p>\n<p><strong>Adult Sponsor:<\/strong> ____________________<\/p>\n<p><strong>Phone\/Email:<\/strong> ____________________<\/p>\n<h2>Checklist for Student Researcher(s)<\/h2>\n<p>MUST BE COMPLETED BY STUDENT RESEARCHER(S) IN COLLABORATION WITH THE ADULT SPONSOR\/DIRECT SUPERVISOR\/QUALIFIED SCIENTIST:<\/p>\n<ol>\n<li><input type=\"checkbox\"> I have submitted my Research Plan\/Project Addendum which addresses all areas indicated in the Human Participants Section of the Research Plan\/Project Addendum Instructions.<\/li>\n<li><input type=\"checkbox\"> I have attached any surveys or questionnaires I will be using in my project or other documents provided to human participants.<\/li>\n<li><input type=\"checkbox\"> Any published instrument(s) used was\/were legally obtained.<\/li>\n<li><input type=\"checkbox\"> I have attached an informed consent that I would use if required by the IRB.<\/li>\n<li><strong>Are you working with a Qualified Scientist?<\/strong><br \/>\n        <input type=\"radio\" name=\"qualified_scientist\" value=\"yes\"> Yes<br \/>\n        <input type=\"radio\" name=\"qualified_scientist\" value=\"no\"> No<br \/>\n        If yes, attach the Qualified Scientist Form 2.\n    <\/li>\n<\/ol>\n<h2>IRB Review<\/h2>\n<p>MUST be completed by the Institutional Review Board (IRB) after review of the research plan. All questions must be answered for the approval to be valid. If not approved, return paperwork to the student with instructions for modifications.<\/p>\n<p><strong>Approved with Full Committee Review<\/strong> (3 signatures required) and the following conditions: (All 6 must be answered)<\/p>\n<ol>\n<li><strong>Risk Level (check one):<\/strong><br \/>\n        <input type=\"radio\" name=\"risk_level\" value=\"minimal\"> Minimal Risk<br \/>\n        <input type=\"radio\" name=\"risk_level\" value=\"more_than_minimal\"> More than Minimal Risk (a risk assessment form 3 is required).\n    <\/li>\n<li><strong>Qualified Scientist (QS) Required (Form 2):<\/strong><br \/>\n        <input type=\"radio\" name=\"qs_required\" value=\"yes\"> Yes<br \/>\n        <input type=\"radio\" name=\"qs_required\" value=\"no\"> No\n    <\/li>\n<li><strong>Risk Assessment Required (Form 3):<\/strong><br \/>\n        <input type=\"radio\" name=\"risk_assessment\" value=\"yes\"> Yes<br \/>\n        <input type=\"radio\" name=\"risk_assessment\" value=\"no\"> No\n    <\/li>\n<li><strong>Written Minor Assent and written parental permission required for minor participants:<\/strong><br \/>\n        <input type=\"radio\" name=\"minor_assent\" value=\"yes\"> Yes<br \/>\n        <input type=\"radio\" name=\"minor_assent\" value=\"not_applicable\"> Not applicable (No minors in this study)\n    <\/li>\n<li><strong>Written Informed Consent required for participants 18 years or older:<\/strong><br \/>\n        <input type=\"radio\" name=\"informed_consent\" value=\"yes\"> Yes<br \/>\n        <input type=\"radio\" name=\"informed_consent\" value=\"no\"> No<br \/>\n        <input type=\"radio\" name=\"informed_consent\" value=\"not_applicable\"> Not applicable (No participants 18 years or older in this study)\n    <\/li>\n<li><strong>Facility for \u201cprotected groups\u201d used, written approval has been obtained:<\/strong><br \/>\n        <input type=\"radio\" name=\"protected_groups\" value=\"yes\"> Yes<br \/>\n        <input type=\"radio\" name=\"protected_groups\" value=\"no\"> No\n    <\/li>\n<\/ol>\n<h2>Signatures<\/h2>\n<p><strong>Print Name:<\/strong> ____________________ <strong>Degree\/Professional License:<\/strong> ____________________<\/p>\n<p><strong>Signature:<\/strong> ____________________ <strong>Date (prior to experimentation):<\/strong> ____________________ <strong>Email:<\/strong> ____________________<\/p>\n<p><strong>Medical or Mental Health Professional:<\/strong> I attest that I have reviewed the student\u2019s project, that the checkboxes above have been completed to indicate the IRB determination and that I agree with the decisions above.<\/p>\n<h3>IRB Signatures (All 3 signatures required)<\/h3>\n<p>None of these individuals may be the adult sponsor, direct supervisor, qualified scientist or related to the student (conflict of interest).<\/p>\n<p><strong>Print Name:<\/strong> ____________________ <strong>Degree\/Professional License:<\/strong> ____________________<\/p>\n<p><strong>Signature:<\/strong> ____________________ <strong>Date (prior to experimentation):<\/strong> ____________________ <strong>Email:<\/strong> ____________________<\/p>\n<p><strong>School Administrator:<\/strong><\/p>\n<p><strong>Print Name:<\/strong> ____________________ <strong>Degree\/Professional License:<\/strong> ____________________<\/p>\n<p><strong>Signature:<\/strong> ____________________ <strong>Date (prior to experimentation):<\/strong> ____________________ <strong>Email:<\/strong> ____________________<\/p>\n<p><strong>Educator:<\/strong><\/p>\n","protected":false},"author":429,"template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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