Forms and Instructions

The HSRC Manual and Application materials are required for research proposal submission and review. The Manual is intended as a guide and provides basic information about how to complete your application. Please read the Manual and instructions carefully and answer or incorporate all application questions (1-7) into your research proposal.

Once completed, the application must be submitted electronically via attachment along with all supporting materials (consents, surveys, interview protocols, etc.) to irb@lclark.edu.

You will also need to submit the Cover form and Confidentiality Agreement form. You may access these forms in the column to the right either in Word format or PDF interactive format. Interactive forms may be submitted electronically as a place holder to meet submittal deadlines until the signed paper form is received in the office.

All signature forms must be fully completed, signed and dated, and must be submitted via the intercampus or postal mail system to the address listed on the right.

Instructions to Send Interactive Forms via Email

You have the option of sending both the Cover Form and the Confidentiality Form to the Office of Research & Assessment via email by using the “Submit by Email” button at the top of the interactive PDF document.

You MUST use your lclark.edu email account to send in forms; any forms received from non-Lewis and Clark email addresses will not be accepted.

To view these forms, you will need Adobe Reader. You can download the program for free at the Adobe Reader website by clicking this link.

Steps:

1. Fill out all of the fields on the form by selecting them and typing your responses. (On check boxes, adjust the hand icon until it becomes a pointing finger.)
2. Once the form is complete, click on the “Submit by Email” button at the top of the form.
3. When the dialogue box appears, choose “Internet Email” or “Other”. Important: Do NOT choose “Desktop Email Application” or the program may crash and your responses will be lost.
4. In the next dialogue box, click “Save Data” to save the form responses on your computer. Save it as you would any other document, and remember where you save it.
5. Close the dialogue box. If you wish to print the form for your files, you must do so before you close Adobe Reader, as you will be unable to save the changes and re-open the form later.
6. Open your lclark.edu email account and draft a message to irb@lclark.edu.
7. In the subject line of your message, please include the name of the form that you are attaching.
8. Attach the data file that you saved in Step 4 to your message, and send the message.

If you have any questions, please contact the IRB/HSRC coordinator at 503 768-7689 or irb@lclark.edu.

Please note: electronic signatures will not be accepted.

Application

HSRC Manual, Application Instructions (pdf)

HSRC Model Informed Consent (pdf)

Short Form Application (for Exempt Status Only)

HSRC Short Form Application for Exempt Status

HSRC Word Forms

HSRC Cover Form: Required (doc)

HSRC Confidentiality Agreement Form (doc)

HSRC Interactive Forms

HSRC Cover Form: Required (pdf)

HSRC Confidentiality Agreement Form (pdf)