application to conduct research at scope
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ORGANISATIONAL APPROVAL ABOUT THIS FORM This Form is for use by anyone proposing to conduct research at Scope (including requests to distribute information about the research to potential participants or communicating with them about the research). The information provided on this form is used to determine whether or not organisational approval can be given to the research. Organisational approval is based on: The impact, risk, benefit, and relevance of the research to Scope (including the people we support, staff, and volunteers); Alignment to the Strategic Plan and Research Plan; Budgetary considerations; and Resources required. You will be notified in writing about the outcome of the review. Please note! Research cannot be conducted without organisational approval. Organisational approval is an essential pre-requisite to applying to Scope’s Human Research Ethics Committee for ethical approval. Submitting this application Incomplete or inadequate applications will not be considered. For more information or to submit your application, please contact: Effective Date: 7.7.2014 Research Page 1 of 6 Application to Conduct Research at Scope Application to Conduct Research at Scope
Transcript of application to conduct research at scope
ORGANISATIONAL APPROVAL
ABOUT THIS FORM
This Form is for use by anyone proposing to conduct research at Scope (including requests to distribute information about the research to potential participants or communicating with them about the research).
The information provided on this form is used to determine whether or not organisational approval can be given to the research. Organisational approval is based on:
The impact, risk, benefit, and relevance of the research to Scope (including the people we support, staff, and volunteers);
Alignment to the Strategic Plan and Research Plan;
Budgetary considerations; and
Resources required.
You will be notified in writing about the outcome of the review.
Please note! Research cannot be conducted without organisational approval.
Organisational approval is an essential pre-requisite to applying to Scope’s Human Research Ethics Committee for ethical approval.
Submitting this application
Incomplete or inadequate applications will not be considered.
For more information or to submit your application, please contact:
Dr Stella KoritsasHead of Strategic [email protected] 3000
Effective Date: 7.7.2014 ResearchPage 1 of 4 Application to Conduct Research at Scope
Application to Conduct Research at ScopeForm
APPLICATION TO CONDUCT RESEARCH AT SCOPEInterim Project Title
1. Project detailsa) Broad category of research (select as many of the following that apply):
Action research Case study/ies Clinical trial/use of drugs or other device Medical/clinical research Qualitative Quantitative Social Science Other (please specify)… ………………………………………………
b) Type of project: Research by academic staff Research by Scope staff Undergraduate research Honours research Masters/PhD research Other (please specify)… …………………………………………………….
c) Service types to be involved:
2. Timelinesa) Anticipated time-frame for data collection and on-site activities
b) Preferred commencement and completion dates for component at/involving Scope
Commence Date: Completion Date:
c) Proposed start and end dates of full project Start Date: End Date: 3. List all researchers who will be involved in the project and their institution (copy and paste to add additional researchers)
Name: Appointment: Institution:
Name: Appointment: Institution:
4. Provide a brief lay summary of the project (no more than one page). State your hypothesis, aims, methods, participants, any other relevant details.
Effective Date: 7.7.2014 ResearchPage 2 of 4 Application to Conduct Research at Scope
5. What are the benefits of the research to Scope (organisation, people we support, staff)?Consider potential to change practice and/or influence policy
6. What are the risks of the research for Scope (including ethically contentious aspects of the research such as dependent/unequal relationships and the potential for coercion, distress, Organisational risk)?
7. What impact will the research have on service delivery and the people we support?(e.g. disruption to services)
8. What is the nature of Scope involvement? Please give details of resources and assistance required from Scope.
Consider time required for staff to participate and the associated cost, mail outs and other resourcing required.
APPLICANT CONTACT INFORMATIONContact Person: Phone: Email: Fax: Mailing Address: Signature
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For Scope use onlyCOMMENT FROM RESEARCH MANAGEMENT, AND GENERAL MANAGER
RESPONSIBLE FOR AFFECTED SERVICES on benefits, risks, impact on service delivery and clients, impact on resources and staffing, including a decision regarding
approval.
Scope is willing / unwilling to support this research and is / is not able to offer the assistance outlined above. The researcher may now / not apply to the Scope Human Research Ethics Committee for ethical review.
Signature:__ ___________________________Date:__ __________ (Scope Head of Strategic Research/Manager of Research & Practice Enhancement):Signature:__ ___________________________Date:__ __________ (GM of affected service/s):
Effective Date: 7.7.2014 ResearchPage 4 of 4 Application to Conduct Research at Scope
