Request for Amendment / Addendum to Approved REC Protocol

Request for Amendment / Addendum to Approved REC Protocol

Research Ethics Committee
Please use this form to request an amendment/addendum to a currently approved Spalding REC protocol. This includes any change in a study's design, personnel or participant population.

Note: All amendment/addendum requests must be submitted no later than 30 days prior to the expiration of your originally approved protocol. If you are past that date, you must submit a new proposal.
Is this your initial amendment request or response to conditions?
Name of principle investigator (PI) / faculty advisor on project
PI / Faculty Advisor Email
example@example.com
Name of student /co investigator
Title of Approved Proposal
REC Proposal Number
Approval Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type of Initial Review Conducted:
Please provide a short summary of the changes you are requesting.
Please provide justification for the proposed change(s) (i.e. why the changes are needed). How will the proposed change(s)/improve the study?
Please upload your previously approved proposal with the proposed changes highlighted. Be sure to revise and attach all relevant documents to reflect the proposed changes and highlight any and all changes made in each document (i.e. recruitment scripts, consent forms, etc.)

Cancelof
Are you adding or changing project personnel?
If you selected YES, have all new research personnel submitted certificates of completion for the required CITI training? (note the training must be completed every 3 years)
Name of individual submitting request
Project Role
Email
example@example.com
Signature of Individual Submitting Request
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Principal Investigator / Faculty Advisor Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate