Forms

Select and then submit any of the forms below, based on what you need for your proposal:

Exempt Review Application – you only need to print and sign the last pages. You can scan and email or drop them off physically to: 20 North 600 East, St. George, UT 84770. We are right next to the DSU Health and Wellness Center (behind Taco Bell on St. George Blvd). Other than these signature pages, a proposal can be completed from your computer and submitted without a need to print anything.

Expedited or Full Review Application – you only need to print and sign the last pages. You can scan and email or drop them off physically to: 20 North 600 East, St. George, UT 84770. We are right next to the DSU Health and Wellness Center (behind Taco Bell on St. George Blvd). Other than these signature pages, a proposal can be completed from your computer and submitted without a need to print anything.

Consent Template

Video Recording Consent Appendix

Language Translation Appendix

Drug Testing Appendix

Bio Samples Appendix

Device Testing Appendix

Genetic Testing Appendix

Don’t forget to include the CITI traning PDF(s) showing completion of training, for all researchers working with the data on the project.


Need to make a change to an ongoing project?

Request to Change a Project


Need to respond to an IRB decision?

IRB Decision Response Form


Need to extend your project beyond it’s expiration? Submit the:

Continuing Review Form


Send ALL of your completed forms and supporting documents via email to Dr. Song Gao:

sgao@dixie.edu

IRB Contact details:

Dixie State Univerisity IRB

Chair – Dr. R.C. Morris, PhD

20 North 600 East, St. George, UT 84770

rcmorris@dixie.edu or sgao@dixie.edu

A. Should I get Informed Consent or Participant Consent?  Can I use both together?

The major difference between Informed Consent and Participant Consent is the signature.  An Informed Consent DOES NOT require research subjects to sign in order to participate in the research. 

However, Participant Consent requires research subjects to sign in order to participate.  If your research involves clinical trials, experiments, and/or pre/post-tests, use a Participant Consent form with a signature because this type of research usually need to track subjects for research records/results.  If there are minors involved in the research regardless of type, Participant Consent with a signature is required for their parent(s) and/or legal guardian(s) to sign before children can do the research.

You may use both Informed Consent and Participant Consent ; however, it is not necessary.  We do not recommend doing both unless you have a very good reason.  For the protection of human subjects, unless a signature is required to deal with risk (as risk with participation goes up the need for signed consent goes up), a simple Informed Consent will usually be sufficent.

B. Can I write my own consent form(s)?  Do I still need to submit DSU IRB’s Informed Consent form or Participant Consent form if I write my own?

You are welcome to construct your own consent form(s) to suite your own needs as long as you follow the general requirements set forth by the federal government.  Please check with Code of Federal Regulations Title 45 Part 46 Section 116 (i.e., 45CFR46.116) for writing your own consent form/letter.

There is no need to submit DSU IRB’s Informed Consent or Participant Consent form if you write your own consent form or letter. However, it is your responsibilty to adress all of the elements presented in the template. We encourage you to modify the template as it fits your needs rathter than start from scrath.

C. What other supporting documents do I need to submit in addition to the required forms?

The following items are also required:

  • CITI Training PDF

  • finalized and approved (by the advisor or the department) research proposal (4 ~ 10 pages)

  • finalized and approved (by the advisor or the department) questionnaire or interview questions if survey/interview is used

  • any IRB submission or approval other than DSU IRB if available

  • any proof of permission from the place where the research is conducted

  • any posters, flyers, photos, …, etc will be used for the research if available