ࡱ> c $bjbjZZ .8b\8b\: , , 8@TNK$ #"(t),}IIIIIII$HMOtIe-""#"--I EK000-v8  Hp0-}I00BWC V[.HBGK0NKBrP/rP(WCWCrPC--0-----II0---NK----rP---------, > j:  鶹ý Research Ethics Board Graduate Student Application to Involve Human Participants in Research [Behavioural / Non- Medical] Please refer to the Concordias Faculty Handbook and Research Ethics Board Website prior to completion and submission of this application.  Send in this form and all accompanying material in quadruplicate if being submitted in hard-copy. If submitting by e-mail, send the application plus attachments, and forward the original signed signature page to the Chairman of the Research Ethics Board, Concordia University of Edmonton. Date:  FORMTEXT       Application Status: HYPERLINK "http://www.mcmaster.ca/ors/ethics/faculty_forms.htm" \o "You can mark an X beside the checkbox, or, in order to click and check the checkboxes, you need to LOCK the form. If you don't see the Lock Icon go to View-Toolbars-Forms to lock and unlock the form."New  FORMCHECKBOX  Change  FORMCHECKBOX  Renewal  FORMCHECKBOX   HYPERLINK "http://www.mcmaster.ca/ors/ethics/faculty_forms.htm" \o "The Ethics Office will give you a protocol number for the record." Protocol#: FORMTEXT       SECTION A  GENERAL INFORMATION 1. Title of the Research Project:  FORMTEXT       2. Investigator Information: NameDept./Address Phone No. E-MailGraduate Student FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT      Faculty Supervisor  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Other Investigator(s)  FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT      Department Head FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       3. Proposed Date (a) of commencement: FORMTEXT       (b) of completion: FORMTEXT       4. Indicate the location(s) where the research will be conducted: Concordia University of Edmonton  FORMCHECKBOX  Community  FORMCHECKBOX  Specify Site FORMTEXT       Other  FORMCHECKBOX  Specify Site FORMTEXT       5. Other Research Ethics Board Approval (a) Is this a multi-centred study?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (b) Has any other institutional Ethics Board approved this project ?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (c) If Yes, there is no need to provide further details about the protocol at this time, provided that all of the following information is provided: Title of the project approved elsewhere:  FORMTEXT       Name of the Other Institution:  FORMTEXT       Name of the Other Board:  FORMTEXT       Date of the Decision:  FORMTEXT       A contact name and phone number for the other Board:  FORMTEXT       A copy of the application to the other institution together with all accompanying materials A copy of the clearance certificate / approval If all of the above information cannot be provided, please complete the balance of this application. (d) Will any other Research Ethics Board be asked for approval?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, please specify FORMTEXT       6. Level of the Project  FORMCHECKBOX  Graduate Student Research  FORMCHECKBOX  Other (specify)  FORMTEXT       7. Funding of the Project (a) Is this project currently being funded  FORMCHECKBOX  Yes  FORMCHECKBOX  No (b) If No, is funding being sought  FORMCHECKBOX  Yes  FORMCHECKBOX  No (c) Period of Funding: From  FORMTEXT       To:  FORMTEXT       (d) Agency or Sponsor (funded or applied for)  FORMCHECKBOX  CIHR  FORMCHECKBOX  NSERC  FORMCHECKBOX  SSHRC  FORMCHECKBOX  ARB  FORMCHECKBOX  NIH  FORMCHECKBOX  Other (specify):  FORMTEXT       8. Conflict of Interest (a) Will the researcher(s), members of the research team, and/or their partners or immediate family members: (i) receive any personal benefits (for example a financial benefit such as remuneration, intellectual property rights, rights of employment, consultancies, board membership, share ownership, stock options etc.) as a result of or being connected to this study?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (ii) if Yes, please describe the benefits below. (Do not include conference and travel expense coverage, possible academic promotion, or other benefits which are integral to the conduct of research generally).  FORMTEXT       (b) Describe any restrictions regarding access to or disclosure of information (during or at the end of the study) that the sponsor has placed on the investigator(s).  FORMTEXT        SECTION B SUMMARY OF THE PROPOSED RESEARCH Please be as Clear and Concise as Possible 9. Rationale Describe the purpose and background rationale for the proposed project, as well as the hypotheses(is)/research questions to be examined.  FORMTEXT        10. Methodology Describe sequentially, and in detail, all procedures in which the research participants will be involved (e.g. paper and pencil tasks, interviews, surveys, questionnaires, physical assessments, physiological tests, time requirements etc.) N.B. Attach a copy of all questionnaire(s), interview guides or other test instruments.  FORMTEXT        11. Experience What is your experience with this kind of research?  FORMTEXT        12. Participants Describe the number of participants and any salient characteristics (such as age, gender, location, affiliation, etc.)  FORMTEXT        13. Recruitment Describe how and from what sources the participants will be recruited, including any relationship between the investigator(s) and participant(s) (e.g. instructor-student; manager-employee). N.B. Attach a copy of any poster(s), advertisement(s) or letter(s) to be used for recruitment.  FORMTEXT        14. Compensation Yes No (a) Will participants receive compensation for participation?  FORMCHECKBOX   FORMCHECKBOX  Financial  FORMCHECKBOX   FORMCHECKBOX  In-Kind  FORMCHECKBOX   FORMCHECKBOX  Other (specify)  FORMTEXT       (b) If yes, please provide details.  FORMTEXT       (c) If participants choose to withdraw, how will you deal with compensation?  FORMTEXT       SECTION C   HYPERLINK "http://www.mcmaster.ca/ors/ethics/tips_and_traps.htm" \o "We heartily recommend the \"Tips and Traps\" tutorial and PDF for expert information on how to complete the ethics form. Just click the link." DESCRIPTION OF THE RISKS AND BENEFITS OF THE PROPOSED RESEARCH 15. Possible Risks 1. Indicate if the participants might experience any of the following risks: a) Physical risk (including any bodily contact or administration of any substance)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No b) Psychological risks (including feeling demeaned, embarrassed worried or upset)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No c) Social risks (including possible loss of status, privacy and / or reputation)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No d) Is there any deception involved?  FORMCHECKBOX  Yes  FORMCHECKBOX  No e) Are any possible risks to participants greater than those the participants might encounter in their everyday life?  FORMCHECKBOX  Yes  FORMCHECKBOX  No 2. If you answered Yes to any of a e above, please explain the risk.  FORMTEXT        3. Describe how the risks will be managed (including an explanation as to why alternative approaches could not be used).  FORMTEXT        16. Possible Benefits Discuss any potential direct benefits to the participants from their involvement in the project. Comment on the (potential) benefits to (the scientific community) / society that would justify involvement of participants in this study.  FORMTEXT       SECTION D   HYPERLINK "http://www.mcmaster.ca/ors/ethics/faculty_forms.htm" \o "Consent is a process, not just a form. This link goes to a sample consent form which you should rewrite appropriately, without \"techo-speak\", for your participants." THE INFORMED CONSENT PROCESS 17. The Consent Process (link to sample consent form: Describe the process that the investigator(s) will be using to obtain informed consent, including a description of who will be obtaining informed consent and a script of what they will say, if anything.  FORMTEXT        Indicate how consent will be documented. Attach a copy of the Letter of Information if applicable and the consent form if applicable. If there will be no written consent, explain why not and describe the alternative means that will be used to document consent. Attach the content of any telephone script that will be used in the consent process (if applicable) For information about the required elements in the letter of information and the consent form, please refer to HYPERLINK "http://www.mcmaster.ca/ors/ethics/faculty_checklists_instruct.htm" \o "The ethics board also requires documentation on how consent will be obtained via email, telephone, or verbal scripts, with some of the \"key elements\" of informed consent."Instructions for the Preparation of an Information Letter/Consent Form :  FORMTEXT        18. Departures from general principles of informed consent by the use of deception or partial disclosure Identify any use of deception or partial disclosure of information that%&<=>NO1 2 5  õ~uiuiVNhf,CJaJ%jhm&%5CJUaJmHnHuh&Nxhm&%5CJaJh!G5CJaJh&Nx5CJaJhm&%5CJaJhm&%hhm&%CJaJhm&%CJaJhf,hm&%5CJ\aJhf,hm&%5;CJaJhf,hf,5;CJaJhf, hr55hhm&%5 h&Nx5 hm&%5h&Nx5mH sH hr5hm&%mH sH =>O1 3 4 5  $Ifgdm&%gdm&%$a$gdm&%& 5xp@ P !$01$]0gdm&%   ҢᖊyeyWyE#jghZhm&%CJUaJhZhm&%0J5CJaJ&jvhZhm&%5CJUaJ jhZhm&%5CJUaJhZhm&%5CJaJhZh5CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#jhZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJhm&%hf,CJaJhr5CJaJ ~    oOGhm&%CJaJ>jhZhm&%5CJOJPJQJU^JaJmHnHo(u&jhZhm&%5CJUaJhZhm&%0J5CJaJ&jhZhm&%5CJUaJhZhm&%5CJaJ jhZhm&%5CJUaJ#jOhZhm&%CJUaJ#jhZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJTV0yyy $Ifgdm&%gdm&%wkd*$$IflF`'( t'6    44 lapytZRTV\VXxz˿⭿։veYMYhZhpr5CJaJhZhm&%5CJaJ hZhm&%5B* CJaJphh-hCJaJhCJaJhpr5CJaJ5jhm&%CJOJPJQJU^JaJmHnHo(u#jhOhm&%CJUaJjhm&%CJUaJh\ hm&%CJaJh0hm&%5CJaJhm&%CJaJhm&%h-hm&%5hm&%5CJaJ0HVXzikd$$Iflr& $ t'644 laytZ $Ifgdm&% z|󿴢ujXu:uju;jhZhm&%CJOJPJQJU^JaJmHnHo(u#jhZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j hZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ3jhZhm&%OJPJQJU^JmHnHo(ujhm&%Uhm&%jhm&%U  BFH\^`jlnpԶm^SA^#j[hZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ3jhZhm&%OJPJQJU^JmHnHo(ujhm&%Ujhm&%UhZhm&%5CJaJhZhpr5CJaJhm&%;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#jhZhm&%CJUaJhZhm&%CJaJFnriiiii $Ifgdm&%kdk$$Iflr& $ t'644 laytZ "$Ǹ}k}g[gǭgO[Gjhm&%UhZhpr5CJaJhZhm&%5CJaJhm&%#jG hZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#jhZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(upggggg $Ifgdm&%kd $$Iflr& $  t'644 laytZ "J4+++ $Ifgdm&%kdI $$Iflr& $  t2YYYYYYYYYYYYYYY'644 lap2YYYYYYYYYYYYYYYytZ$8:<FHLNbdfprtvvkYv;vkvk;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j* hZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j hZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ3jhZhm&%OJPJQJU^JmHnHo(ujhm&%Uj> hm&%Uhm&%JLt8`ikd $$Iflr& $ t'644 laytZ $Ifgdm&%   &(*޵l]R@]#jhZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ3jhZhm&%OJPJQJU^JmHnHo(uj hm&%Ujhm&%UhZhm&%5CJaJhZhpr5CJaJhm&%hZhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#j hZhm&%CJUaJ*468:NPR\^`bvxzǸ}k}g_S_K_?jhm&%CJUaJhCJaJh thm&%5CJaJhm&%CJaJhm&%#jhZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j|hZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJhZhm&%CJaJjhZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(uPRDNVrmm`mmmmmmm ^`gdgdm&%kdh$$Iflr& $ t'644 laytZ (*>:<>z|ڿڿygU#j>h+\hm&%CJUaJ#jh+\hm&%CJUaJhr5CJaJh&NxCJaJh&Nxhm&%5CJaJh thm&%5CJaJhm&%#jVhTshm&%CJUaJhCJaJ5jhm&%CJOJPJQJU^JaJmHnHo(ujhm&%CJUaJ#jhTshm&%CJUaJhm&%CJaJ!.0DFHRT^   "#$%'mn|p^p#jh+\hm&%CJUaJhQ hm&%5CJaJ#jh+\hm&%CJUaJh thm&%5CJaJ#jh^kXhm&%CJUaJ#j(h+\hm&%CJUaJ5jhm&%CJOJPJQJU^JaJmHnHo(u#jh^kXhm&%CJUaJhm&%CJaJjhm&%CJUaJ$VX(/t,;=lmABD^gd`gd^gdm&%gdgdm&%n|}~XYcd  LNbdfpro]o#j\hChm&%CJUaJ5jhm&%CJOJPJQJU^JaJmHnHo(u#jhChm&%CJUaJh_hm&%5CJaJhf hm&%5CJaJhCJaJ#jph+\hm&%CJUaJhQ hm&%5CJaJjhm&%CJUaJ#jh+\hm&%CJUaJhm&%CJaJ#(* #<=mᾶᾤᾒᾆzqbQ jhm&%B*CJUaJphhJhm&%B*CJaJphhm&%5CJaJh_hm&%5CJaJhf hm&%5CJaJ#jhChm&%CJUaJ#jHhChm&%CJUaJhCJaJhm&%CJaJ5jhm&%CJOJPJQJU^JaJmHnHo(ujhm&%CJUaJ#jhChm&%CJUaJ#$%&),-;<=>@BXYcd˼˼o`Io,j hKhm&%B*CJUaJphhKhm&%B*CJaJph&jhKhm&%B*CJUaJph hJhm&%6B*CJaJph,jh+\hm&%B*CJUaJph hQ hm&%5B*CJaJphhJhm&%B*CJaJph jhm&%B*CJUaJph,j4h+\hm&%B*CJUaJphhm&%B*CJaJph  DFHdfh̻xfT#jh*hm&%CJUaJ#j h+\hm&%CJUaJh VCJaJ#jh+\hm&%CJUaJjhm&%CJUaJh thm&%5CJaJhm&%CJaJhm&%5CJaJ hJhm&%6B*CJaJph&jhKhm&%B*CJUaJph>jhm&%B*CJOJPJQJU^JaJmHnHo(phu"&(\^NJ v x !! !P!R!!""f"" #U#V##`gdgdm&% $&.^ "&\^z|~йЧЛЉЛ}kЛY#jZh+\hm&%CJUaJ#jh+\hm&%CJUaJh Zhm&%5CJaJ#jnh+\hm&%CJUaJh3!Yhm&%5CJaJ#jh+\hm&%CJUaJh thm&%5CJaJhf hm&%CJaJhm&%CJaJjhm&%CJUaJ5jhm&%CJOJPJQJU^JaJmHnHo(u" &(<>@JL     6 8 : H J L h }kchCJaJ#jh+\hm&%CJUaJ#j2h+\hm&%CJUaJ#jh+\hm&%CJUaJ#jFh 1Chm&%CJUaJ5jhm&%CJOJPJQJU^JaJmHnHo(u#jh 1Chm&%CJUaJjhm&%CJUaJh3!Yhm&%5CJaJhm&%CJaJ#h j l z | ! ! !!!&!R!!!""f"h"""$#%#3#4#5#6#ٵ٣|ttttb#jh+\hm&%CJUaJhCJaJh thm&%5CJaJ5jhm&%CJOJPJQJU^JaJmHnHo(u#jhhm&%CJUaJ#j h+\hm&%CJUaJ#jh+\hm&%CJUaJhm&%CJaJjhm&%CJUaJ#jh+\hm&%CJUaJ#6#9#?#@#N#O#P#R#T#^#`#a#V$X$Z$n$p$r$|$~$$2%4%%%%%%%%%&&ĸ뭞nf뭞Tn#j!hZhm&%CJUaJhCJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJh#hm&%5CJaJhm&%5CJaJ#jl h+\hm&%CJUaJjhm&%CJUaJhm&%CJaJh3!Yhm&%5CJaJ ##T$V$X$$$$$%%%&&&AkdX!$$Ifl,"& t644 laytZ $Ifgdm&%gdm&%&&&^&_&l&m&&&&((( $Ifgdm&%^gdm&%gdm&%Akd"$$Ifl,"& t644 laytZ &1&^&_&b&l&&&&''( ( (((4(6(*.********ɺɨpdpVɺha{hm&%6>*CJaJhm&%56>*CJaJha{hm&%56>*CJaJhQhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#jR"hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJh+hm&%5CJaJhm&%CJaJhhm&%56CJaJhm&%5CJaJ(((6(8(******* $Ifgdm&%`gdm&%^gdm&%gdm&%Akd"$$Ifl,"& t644 laytZ ******+++++++++++++++++,,,,,,,,,--B.޵޵{޵o޵]޵#jz$hZhm&%CJUaJhZhm&%5CJaJ#j#hZhm&%CJUaJhm&%5CJaJh!|hm&%CJaJhp;hm&%5CJaJhm&%CJaJhZhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#j #hZhm&%CJUaJ"***+++++++++fAkd8$$$Ifl,"& t644 laytZ $Ifgdm&%`gdm&%gdm&%Akd#$$Ifl,"& t644 laytZ ++++,,,,,,,,- -..^/`/b//Akd$$$Ifl,"& t644 laytZ $Ifgdm&%^gdm&%gdm&%B...^/`/b/d/x/z/|//////////////ôâypgpgp[L; hPhm&%5B*CJaJphhPhm&%B*CJaJphhPhm&%5CJaJh5CJaJhm&%5CJaJh 1Chm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j2%hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJhm&%56CJaJh!|hm&%56>*䴳&%䴳&%*䴳///////0:1111:2<2>2f2gdgdm&%^gdm&%Akd%$$Ifl,"& t644 laytZ $Ifgdm&%/00r0t0v0000000000000111111416181:1<1P1X1Z1ǻǻ|ǻeǻN,jL'h+\hm&%B*CJUaJph,j&h+\hm&%B*CJUaJph hPhm&%5B*CJaJph,j`&h+\hm&%B*CJUaJph,j%h+\hm&%B*CJUaJphhm&%B*CJaJph jhm&%B*CJUaJphh&NxB*CJaJphhB*CJaJphhPhm&%B*CJaJphZ1v1x1z1|1~11111111111182:2<2>2@2T2˼˼n˼_K_&jhZhm&%B*CJUaJphhZhm&%B*CJaJph>jhm&%B*CJOJPJQJU^JaJmHnHo(phu,j(hPhm&%B*CJUaJph,j8(h+\hm&%B*CJUaJphhPhm&%B*CJaJph jhm&%B*CJUaJph,j'h+\hm&%B*CJUaJphhm&%B*CJaJphT2V2X2b2d2h222333 33 3"3,3.323ղգufuTf6fu;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j)hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJhm&%CJaJhm&%B*CJaJphhPhm&%B*CJaJphhZhm&%B*CJaJphDjhZhm&%B*CJOJPJQJU^JaJmHnHo(phu&jhZhm&%B*CJUaJph,j$)hZhm&%B*CJUaJphf2h2j23330323436344fAkdR*$$Ifl,"& t644 laytZ $Ifgdm&%`gdm&%gdm&%Akd)$$Ifl,"& t644 laytZ 234363N3P3~4444444444455555555555555666ִ֨thVh#j+h+\hm&%CJUaJh1Qhm&%5CJaJ#j+h+\hm&%CJUaJjhm&%CJUaJhIhm&%CJaJhb+hm&%CJaJh[+hm&%5CJaJh|Zhm&%0J5CJaJ&j*h|Zhm&%5CJUaJjhm&%5CJUaJhm&%5CJaJhm&%CJaJhthm&%CJaJ 444&5'5p55552636x666 7 7L777777788 8 $Ifgdm&%`gdm&%gdm&%6666666,6-6.6/6166666666666666666666666677777b777ٻ٩ٗمskhCJaJ#j.h+\hm&%CJUaJ#jK.h+\hm&%CJUaJ#j-h+\hm&%CJUaJ#j_-h+\hm&%CJUaJ#j,h+\hm&%CJUaJh1Qhm&%5CJaJhm&%CJaJjhm&%CJUaJ#js,h+\hm&%CJUaJ*7777777777777777777 8 8888"8999092949>9@9F9P9밡q밡_q#j0hZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j#0hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJ#j/h+\hm&%CJUaJh1Qhm&%5CJaJ#j7/h+\hm&%CJUaJhm&%CJaJjhm&%CJUaJ" 8"8$8999B9D9F9H9t9b]gdm&%AkdQ1$$Ifl,"& t644 laytZ $Ifgdm&%^gdm&%`gdm&%Akd0$$Ifl,"& t644 laytZ t9v9N;P;R;z;|;~;;<<=====>>Akd 2$$Ifl,"& t644 laytZ $Ifgdm&%^gdm&%gdm&%P9v9P;R;T;h;j;l;v;x;|;;;;<<<<<<<<<<======>Ԥٖ#<3hZhm&%CJUaJhm&%5CJaJhI#hm&%5CJaJhrghm&%0J5CJaJ&jK2hrghm&%5CJUaJjhm&%5CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j1hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJhm&%CJaJhm&%5CJaJ> > >>@@AAA`BbBhBjBlBnBpBBBBBBBBlCDLǿxf[O[M[UhDhD5CJaJhDhDCJaJ#j5hZhm&%CJUaJhO%hm&%CJaJh{h#hm&%0J5CJaJ&j3h;H+hm&%5CJUaJhm&%5CJaJ jh{h#hm&%5CJUaJhm&%CJaJhZhm&%CJaJjhZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u>>>w@x@jBlBnBBBBcCkdw5$$Ifl,"" t644 laytD $Ifgdm&%^gdm&%gdm&%Akd3$$Ifl,"& t644 laytZ BBpCrC(*NP Z\ $Ifgdm&%^gdm&%`gdm&%gdm&%gdD^gdD & FgdDh^hgdDgdD may constitute a departure from the principles of informed consent. Provide the rationale for the deception by answering the following questions: Explain why it is impossible or impracticable to carry out the research and to address the research question properly, given the research design; Explain the alternative designs that have been considered and why they will not be utilized; Explain the risks to the participants; Explain the plan to provide a debriefing which may offer participants the possibility of withdrawing consent and/or withdrawing data and/or human biological materials. 19. Consent by an authorized party If the participants are minors or for other reasons are not competent to consent, describe the proposed alternate source of consent, including any permission / information letter to be provided to the person(s) providing the alternate consent.  FORMTEXT       20. Alternatives to prior individual consent If obtaining written documentation of participant consent prior to commencement of the research project is not appropriate for this research, please explain and provide details for a proposed alternative consent process.  FORMTEXT        21. Debriefing (Participant feedback) Explain what feedback/ information will be provided to the participants after participation in the project. (For example, a more complete description of the purpose of the research, access to the results of the research). N.B. Please provide a copy of the written debriefing form, if applicable.  FORMTEXT        22. Participant withdrawal a) Describe how the participants will be informed of their right to withdraw from the project. Outline the procedures which will be followed to allow the participants to exercise this right.  FORMTEXT        b) Indicate what will be done with the participant s data and any consequences which withdrawal might have on the participant, including any effect that withdrawal may have respecting participant compensation.  FORMTEXT        c) If the participants will not have the right to withdraw from the project, please explain.  FORMTEXT        SECTION E  CONFIDENTIALITY 23. a) Will the data be treated as confidential?  FORMCHECKBOX  Yes  FORMCHECKBOX  No b) Describe the procedures to be used to ensure anonymity of participants or confidentiality of data both during the conduct of the research and in the release of its findings.  FORMTEXT       c) Explain how written records, video/audio tapes and questionnaires will be secured, and provide details of their final disposal or storage.  FORMTEXT       d) If participant anonymity/confidentiality is not appropriate to this research project, explain, including providing details of how all participants will be advised of the fact that data will not be anonymous or confidential.  FORMTEXT        SECTION F -- MONITORING ONGOING RESEARCH 24. Annual Review and Adverse Events a) Minimum review requires the completion of a  Renewal/Project Completed form at least annually. Indicate whether any additional monitoring or review would be appropriate for this project. It is the investigator s responsibility to notify the REB using the HYPERLINK "http://www.mcmaster.ca/ors/ethics/faculty_forms.htm" \o "The Ethics Office will send you an electronic link to a login to complete the annual report. If you experience ethical dilemmas and/or complaints during the conduct of the research, please contact the ethics board as soon as possible." Renewal/Project Completed form, when the project is completed, or if it is cancelled.  FORMTEXT        b) Adverse events (unanticipated negative consequences or results affecting participants) must be reported to the REB Secretariat and the MREB Chair, as soon as possible and in any event, no more than 3 days subsequent to their occurrence. 25. ADDITIONAL INFORMATION (Use an additional page if more space is required to complete any sections of the form, or if there is any other information relevant to the project which you wish to provide to the Research Ethics Board.)  FORMTEXT         HYPERLINK "http://www.mcmaster.ca/ors/ethics/info_contact.htm" \o "If you submit your application electronically, the Ethics Office only requires the signed page of the application form, by campus or Canada post, for it's record. Your application will be processed in advance of receiving the signature page." SECTION G  SIGNATURES I confirm that I have read the Concordia University of Edmonton Research Ethics Board Guidelines for Research with Human Participants and I agree to comply with the conditions outlined in the Guidelines.  FORMTEXT        FORMTEXT       Signature of Graduate Student Date We confirm that we have carefully reviewed the above Graduate Student application and recommend that it be submitted to Research Ethics Board for review. We also confirm that the Faculty Supervisor will supervise the research of the Graduate Student to ensure that the Graduate Student will comply with the conditions of the Concordia University of Edmonton Research Ethics Board Guidelines for Research with Human Participants.  FORMTEXT        FORMTEXT       Signature of Faculty Supervisor Date  FORMTEXT        FORMTEXT       Signature of Department Head Date      You can LOCK the form to CHECK the CHECKBOXES. If you don t see the icon of the LOCK  go to VIEW - TOOLBARS  FORMS. Make sure FORMS is checked then you will see the icon of the LOCK. LN X\ jp&(*,.0Dھrhrhrhrhrھhm&%OJQJ^Jhmhm&%OJQJ^J;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j5hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJ hUhm&%5B*CJaJphhm&%CJaJhDhm&%CJaJhDhDCJaJhDCJaJ%np*,.VXZ]Akd6$$Ifl,"& t644 laytZ $Ifgdm&%^gdm&%`gdm&%gdm&%Akd46$$Ifl,"& t644 laytZ DFHRTZ^`dj(*046:fj޵}޵k޵ZKhephm&%B*CJaJph hephm&%5B*CJaJph#j.7hZhm&%CJUaJh[hm&%CJaJhm&%56>*CJaJ hUhm&%5B*CJaJphhDCJaJhm&%CJaJhZhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#jv6hZhm&%CJUaJZ\fh,.02jlAkd7$$Ifl,"& t644 laytZ $Ifgdm&%^gdm&% 0^`0gdm&%gdm&%½Ľƽڽܽ޽ʾ̾ξؾھ "$ԶԶԶym[m#j:h+\hm&%CJUaJjhm&%CJUaJhDCJaJhm&%5CJaJ#jV9hZhm&%CJUaJ#j8hZhm&%CJUaJhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#j7hZhm&%CJUaJhZhm&%CJaJ"½ĽkAkd9$$Ifl,"& t644 laytZ^gdm&%Akd\8$$Ifl,"& t644 laytZ $Ifgdm&% ܾ޾ ؿڿ>@Bj^gdm&%Akd9$$Ifl,"& t644 laytZ $Ifgdm&% 0^`0gdm&%̿οпҿֿ@BDXZ\fhl~³¡³qb³hRhm&%B*CJaJph#j;hZhm&%CJUaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j:hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJ#j:h+\hm&%CJUaJjhm&%CJUaJhm&%CJaJhqzthm&%5CJaJ jlnk^^^ 0^`0gdm&%Akd(<$$Ifl,"& t644 laytZ $Ifgdm&%^gdm&%Akdp;$$Ifl,"& t644 laytZ ^`gdm&%^gdm&% 0^`0gdm&%Akd<$$Ifl,"& t644 laytZ $Ifgdm&%Zjl޵|k_Hk8k|h-hm&%0J56CJaJ,j"=h-hm&%56>*CJUaJhm&%56>*CJaJ jhm&%56>*CJUaJh!|hm&%56>*CJaJ hyhm&%5B*CJaJphhDCJaJhm&%5CJaJhm&%CJaJhZhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#jj<hZhm&%CJUaJTxzvxz|~׶Ș⏄xpph]hjhm&%CJaJhDCJaJhCJaJhL}hm&%5CJaJhqzthm&%CJaJhm&%5CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(u#j>hZhm&%CJUaJjhZhm&%CJUaJhZhm&%CJaJhm&%CJaJh>hm&%56>*CJaJ h>hm&%6xz|||^gdm&%p^pgd p`^p``gd p`^p``gdm&% 0^`0gdm&%Akd>$$Ifl,"& t644 laytZ $Ifgdm&%$&(TV\^޵}o[oMo?h@hm&%5CJ]aJhCPhm&%0J5CJaJ&j?hCPhm&%5CJUaJjhm&%5CJUaJhThm&%5CJaJh3Vhm&%5CJaJhaChm&%CJaJhm&%5CJaJhZhm&%5CJaJhZhm&%CJaJ;jhZhm&%CJOJPJQJU^JaJmHnHo(ujhZhm&%CJUaJ#j>hZhm&%CJUaJXZ\^gd@^gdm&%gdm&% 0^`0gdm&%AkdA?$$Ifl,"& t644 laytZ $Ifgdm&%^h"$468LNPZ\^nὯulXuLChpr5CJaJh,hm&%6CJaJ&j@hHFhm&%6CJUaJh6CJaJ8jhm&%6CJOJPJQJU^JaJmHnHo(u&jr@hHFhm&%6CJUaJhm&%6CJaJjhm&%6CJUaJhm&%5CJaJha556CJ\aJh@h&Nx56CJ\aJh@hm&%56CJ\aJh@hm&%5CJ\]aJ^r,z| 0^`0gdpr0&d P ^`0gdprgd@ 0^`0gdm&%0&d P ^`0gdm&%02>@h (*,68JL`ʼ~ua~D~u~u8jhpr6CJOJPJQJU^JaJmHnHo(u&j^AhHFhpr6CJUaJhpr6CJaJjhpr6CJUaJh@56CJ\aJha556CJ\aJh@h@56CJ\aJh@6CJaJh@h@5CJ]aJh@h@56CJaJh@h@5CJaJh@5CJaJhm&%5CJaJh5CJaJ`bdnpr(*,|~޵ޚޚޚr޵_L$jChN#hE*<CJPJUaJ$j6ChN#hE*<CJPJUaJ&jBhHFhpr6CJUaJ&jJBhHFhpr6CJUaJhpr6CJaJh V5CJaJhpr5CJaJh,hpr6CJaJ8jhpr6CJOJPJQJU^JaJmHnHo(ujhpr6CJUaJ&jAhHFhpr6CJUaJ "$Ǵha5hl8ha5aJ ha55CJhE*jhE*Uhpr5CJaJ$jFhN#hE*<CJPJUaJ$jEhN#hE*<CJPJUaJ$j$EhN#hE*<CJPJUaJ$jDhN#hE*<CJPJUaJ "$ 0^`0gdm&%gdm&% ,1h/ =!"#$% vDText71DyK yK http://www.mcmaster.ca/ors/ethics/faculty_forms.htmyX;H,]ą'ctDCheck1tDCheck2tDeCheck3DyK yK http://www.mcmaster.ca/ors/ethics/faculty_forms.htmyX;H,]ą'cvDText72}$$If!vh#v(#v#v :V l t'65(55 pytZvDText74x$$If!vh#v #v#v#v#v$ :V l t'65 5555$ ytZtDText6tDText7tDText9vDText10x$$If!vh#v #v#v#v#v$ :V l t'65 5555$ ytZvDText11vDText12vDText14vDText15$$If!vh#v #v#v#v#v$ :V l t'65 5555$ / ytZ$$If!vh#v #v#v#v#v$ :V l  t2YYYYYYYYYYYYYYY'65 5555$ p2YYYYYYYYYYYYYYYytZvDText16vDText17vDText19vDText20x$$If!vh#v #v#v#v#v$ :V l t'65 5555$ ytZvDText21vDText22vDText24vDText25x$$If!vh#v #v#v#v#v$ :V l t'65 5555$ ytZtDText4tDText5tDeCheck4tDeCheck6vDText27tDeCheck7vDText28tDeCheck8tDeCheck9vDeCheck10vDeCheck11vDText29vDText30vDText31vDText32vDText33vDeCheck48vDeCheck49vDText64vDeCheck12vDeCheck17vDText55vDeCheck18vDeCheck19vDeCheck20vDeCheck21vDText34vDText35vDeCheck22vDeCheck23vDeCheck24vDeCheck25vDeCheck39vDeCheck26vDText54vDeCheck27vDeCheck28vDText36@$$If!vh#v":V l t65&ytZvDText75@$$If!vh#v":V l t65&ytZvDText76@$$If!vh#v":V l t65&ytZvDText77@$$If!vh#v":V l t65&ytZvDText78@$$If!vh#v":V l t65&ytZvDText79@$$If!vh#v":V l t65&ytZvDText80@$$If!vh#v":V l t65&ytZvDeCheck42vDeCheck43vDeCheck44vDeCheck45vDeCheck46vDeCheck47vDText59vDText81@$$If!vh#v":V l t65&ytZvDText82@$$If!vh#v":V l t65&ytZDyK yK http://www.mcmaster.ca/ors/ethics/tips_and_traps.htmyX;H,]ą'cvDeCheck29vDeCheck30vDeCheck31vDeCheck32vDeCheck33vDeCheck34vDeCheck35vDeCheck36vDeCheck37vDeCheck38vDText83@$$If!vh#v":V l t65&ytZvDText84@$$If!vh#v":V l t65&ytZvDText85@$$If!vh#v":V l t65&ytZDyK yK http://www.mcmaster.ca/ors/ethics/faculty_forms.htmyX;H,]ą'cvDText86@$$If!vh#v":V l t65&ytZ DyK yK http://www.mcmaster.ca/ors/ethics/faculty_checklists_instruct.htmyX;H,]ą'cvDText87E$$If!vh#v":V l t65"ytDvDText88@$$If!vh#v":V l t65&ytZvDText89@$$If!vh#v":V l t65&ytZvDText90@$$If!vh#v":V l t65&ytZvDText91@$$If!vh#v":V l t65&ytZvDText92@$$If!vh#v":V l t65&ytZvDText93@$$If!vh#v":V l t65&ytZvDeCheck40vDeCheck41vDText94@$$If!vh#v":V l t65&ytZvDText95@$$If!vh#v":V l t65&ytZvDText96@$$If!vh#v":V l t65&ytZDyK yK http://www.mcmaster.ca/ors/ethics/faculty_forms.htmyX;H,]ą'cvDText97@$$If!vh#v":V l t65&ytZvDText98@$$If!vh#v":V l t65&ytZDyK yK ~http://www.mcmaster.ca/ors/ethics/info_contact.htmyX;H,]ą'cvDText65vDText66vDText65vDText66vDText65vDText66Dd b  3 0bullet_subject"@@Dd b  3 0bullet_subject"@@Dd F  3 "@@Dd b  3 0bullet_subject"@@Dd b  3 0bullet_subject"@@Dd F  3 "@@s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@PJ_HmH nH sH tH D`D m&%NormalCJ_HaJmH nHsH tHDA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List B^B m&% Normal (Web)dd[$\$6U`6 m&% Hyperlink >*B*phnn m&% Table Grid7:V0PJe@" m&%HTML Preformatted7 2( Px 4 #\'*.25@9CJOJPJQJ^JaJtH FV 1F m&%FollowedHyperlink >*B* ph@@B@ D List Paragraph ^PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] i;i;  z$*nh 6#&*B./Z1T22367P9>ٷ$"$%')*,/1245789:<=>?BDGIJKMOPSTnpruxy{}0JV#&(*+/f24 8t9>BZj$#&(+-.036;@ACEFHLNQRUVoqstvwz|~^jpUagjv|~ )5;>JPR^dfrx,8>!/;A   ,  # / 5 P \ b   ! ) 9 U a g = M U e <LUen~NZ`[gm,8>%+$&6JV\&n~ FV\lbnt#4$ A J!V!\!?#@$$$$$((())*Y+e+k+N,Z,`,9-E-K----.(...>../ ////000 2>3Y33335555677777789999::=:I:O:Y:e:k:i;FXG$G$G$XFFFFFFFFFFFFFFFFFFFFG$G$FG$FG$G$G$G$FFFFFG$G$FG$G$FG$G$G$G$FFG$G$G$G$G$G$FG$G$FFFFFFFG$G$G$G$G$G$FFFXG$G$G$G$G$G$G$G$G$G$FFFXFXFFFFFFFG$G$FFFXFFXFFFFFF8@(  b  3 #" `? B S  ?1i;N`']tnText71Check1Check2Check3 _Hlt182038646 _Hlt182038647Text72Text74Text6Text7Text9Text10Text11Text12Text14Text15Text16Text17Text19Text20Text21Text22Text24Text25Text4Text5Check4Check6Text27Check7Text28Check8Check9Check10Check11Text29Text30Text31Text32Text33Check48Check49Text64Check12Check17Text55Check18Check19Check20Check21Text34Text35Check22Check23Check24Check25Check39Check26Text54Check27Check28Text36Text75Text76Text77Text78Text79Text80Check42Check43Check44Check45Check46Check47Text59Text81Text82 _Hlt169664799 _Hlt169664800Check29Check30Check31Check32Check33Check34Check35Check36Check37Check38Text83Text84Text85Text86Text87Text88Text89Text90Text91Text92Text93Check40Check41Text94Text95Text96Text97Text98Text65Text66_PictureBullets_Vk*?Sg-0  $ Q  * V > V =VoO\-'Ko G]cK!$()Z+O,:--./../03577:j;@@  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLM@N@OPQRSTUVWXYZ[\]^_`abcdefghijklmqh} <Qey?"B -  6 c " : h N f Mfan?,%7]Wmu$]!$(*l+a,L--).?. //03578:j;|}:::::::::::g;j;  9 < _h|}"TVlu X[&1V]"T ^ --00`3g3r4t4::::;;g;j;333333333333333333333333%%x%x%%%%%}&~&&&&&&&''''''((**q+r+--0044::j;&v tuаv^&BWbw/:=BGIrK>OrkaOxG&d}z ^`OJQJo( 8^8`OJQJo( ^`OJQJo(o  p^ `OJQJo(  @ ^ `OJQJo( x^x`OJQJo( H^H`OJQJo(o ^`OJQJo( ^`OJQJo(p0p^p`0o(.   ^ `hH.  L ^ `LhH. xx^x`hH. HH^H`hH. L^`LhH. ^`hH. ^`hH. L^`LhH.88^8`5o() ^`hH.  L ^ `LhH.   ^ `hH. xx^x`hH. HLH^H`LhH. ^`hH. ^`hH. L^`LhH.@ 0@ ^@ `0o(()   ^ `hH. xLx^x`LhH. HH^H`hH. ^`hH. L^`LhH. ^`hH. ^`hH. X LX ^X `LhH.^`o() ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.^`CJOJQJo(hH^`CJOJQJo(hHopp^p`CJOJQJo(hH@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo(^`CJOJQJo(hH^`CJOJQJo(hHopp^p`CJOJQJo(hH@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo(&dav^&/:=tuIrK>        Z        T                   L/1e/1/1&#'/1/1nk2/1#>/1!F/1O/1 MxX/1k1+IpEL3 < DV Hj N  jCIhG_rGVsn7T!ME`]<`o5> \a "{#uu$m&%'?%&0i& ?'(f()v)F*E*^+[-}-O.'L/O\0>1ٳ3a5&5r57%8+9/;;<Av=%V>)?]?~3@oBP+C'D{gD@tE[G!GII'IJKJN&LvL.PDP6OQKR#T$VdWndXMoZ#[\,?\A]+_k_y `/=a'ce>f0ogoi#j=kW op;qpq;r.s};s5tVt>\uwI>w&NxWx y<|U|$X}@}sc x>\|1VQ`m6G`2;R+mv'qlnsk5]EiRmc(AZj~a9hikfk Y{$'g^t!Ydj>E?@pD3v.'$psf,\>TvA6{L%E&WC_-Z/\bOCJ Vbkz0!@@HI>k~gv ~$P:@9Nux{DlYEpW;+$]`O17NprWW}zoP-S*?.j!F`9(55Ow  3'"aFw,::__Grammarly_42____i__Grammarly_42___14H4sIAAAAAAAEAKtWckksSQxILCpxzi/NK1GyMqwFAAEhoTITAAAATH4sIAAAAAAAEAKtWcslP9kxRslIyNDY0MzQ3MTA3NTExM7C0MDVT0lEKTi0uzszPAykwrAUA579QwywAAAA=@'''',"` b b bbbbhhhhhhhhhhW!W"W$W%i;@ @,@4@ D@$L@(*,.02h@8:x@>@BUnknownG.[x Times New Roman5Symbol3. .Cx ArialI. ??Arial Unicode MS; Batang?= .Cx Courier New;WingdingsA$BCambria Math"1ha'a'1 j1 j!4::3QHP ?:m&%2!xx  http://www dhemmerlingDanielle Schalin(       Oh+'0l  ( 4 @LT\d http://www dhemmerlingNormalDanielle Schalin2Microsoft Office Word@@V@V 1 ՜.+,D՜.+,\ hp  (Concordia University College of Albertaj:  http://www Title 8@ _PID_HLINKSAh*Y33http://www.mcmaster.ca/ors/ethics/info_contact.htm4H4http://www.mcmaster.ca/ors/ethics/faculty_forms.htmg&Bhttp://www.mcmaster.ca/ors/ethics/faculty_checklists_instruct.htm4H4http://www.mcmaster.ca/ors/ethics/faculty_forms.htmS5http://www.mcmaster.ca/ors/ethics/tips_and_traps.htm4H 4http://www.mcmaster.ca/ors/ethics/faculty_forms.htm4H4http://www.mcmaster.ca/ors/ethics/faculty_forms.htm  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FTVData G1TablePWordDocument.SummaryInformation(DocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q