Ethical approval application form

Ethical approval application form

fields marked with an asterisk are mandatory

Project title: *

Project proponent (the person who is submitting this proposal): *

The proponent is (select the option that better applies- the committee will check for eligibility):: *

BMCS Ph.D. student

HIT member

none of the above

The project is (please select the option that best applies - the committee will check for eligibility):: *

a BMCS Ph.D. student project

a HIT project (HIT is one beneficiary of the grant or a party in a formal research agreement)

none of the above

Proponents’ role: *

Proponents' affiliation: *

Proponents’ e-mail: *

If - according to current law - any specific professional is needed for the project (nurse, physician, ...) please explain specifically who they are and w hen they intervene: *

Project type: *

Is the project funded or is the proponent going to apply for funding?: *

If you answered yes: Please specify what funding agency is/will be involved and the name of the call/funding program:

If the ethical approval is required by the funding agency, please specify the exact deadline (this cannot be shorter than 15 working days from the date of your submission):