Progress Report / Extension Request Form
This form is for requesting an extension of proposals that will be expiring within 30 days of submission of this request. Please do not submit extension requests prior to 30 days before the expiration of your approved protocol.
Primary Investigator Name
*
PI Email
*
example@example.com
Secondary/Student Investigator Name
Student / Co-investigator Email
example@example.com
Project Title
*
Project Expiration Date
*
REC Approval Number
*
Level of Initial REC Review
*
Please Select
Exempt
Expedited
Full Board
Were there any amendments made to the proposal since it was approved or since the last progress report?
*
YES
NO
If you answered YES to the previous question, please provide a summary of the approved amendment(s).
Are the investigators aware of any new and relevant information, published or unpublished, that might impact the risk associated with this research?
*
YES
NO
Back
Next
If you answered YES to the previous question, please provide the information here, including links to relevant literature / information.
Please explain your rationale for requesting an extension on your project (ex: additional follow up with participants, continued data collection or recruitment, etc.)
*
Please upload your brief progress report (downloadable from the REC website https://rec.spalding.edu/research-ethics-committee/rec-forms/). If your project is exempt, you do not have to upload a progress report. You may include additional pages in your progress report as needed.
*
Browse Files
Cancel
of
Please upload the final, approved version of your protocol
*
Browse Files
Cancel
of
Please upload a blank copy of your approved consent form
*
Browse Files
Cancel
of
PI Signature
*
Submit
Should be Empty: