ࡱ> _c\]^{s bjbj\\ >(6ij6ij08W+ .Y&(&&&.|00h   N1|.".N1N1 &&555N1F&& 5N1 55xԀ&PT10|Z'0W|JY2YԀԀ&Y 5N1N1N1 N4N1N1N1WN1N1N1N1YN1N1N1N1N1N1N1N1N1 u:  Application to the RESEARCH COMMITTEE for Approval of a New Research Project 911 Research Committee is required to review and approve all new research proposals to ensure time commitment, funding request, and scientific merit are reasonable and consistent with other University policies. The Dean of Research reviews all proposals and signs as the responsible institutional official. The 911 Investigator of Record (the principal investigator or 911 co-investigator if the PI is not a member of the full time NUHS faculty) is responsible for completing and submitting this application to the NUHS Research Committee prior to starting the research. Project Title:  FORMTEXT       Investigators:NUHS Contact Person (Check one):  FORMCHECKBOX  NUHS Investigator of Record  FORMCHECKBOX  Project Principal InvestigatorName, academic/professional degree(s):  FORMTEXT      Signature and Date:  FORMTEXT      Phone number:  FORMTEXT      Email:  FORMTEXT        (Check one)  FORMCHECKBOX  Co-Investigator  FORMCHECKBOX  Faculty Sponsor (required when PI is student or non-full time faculty)Name, academic/professional degree(s): FORMTEXT      Signature and Date:  FORMTEXT      Phone number:  FORMTEXT      Email:  FORMTEXT       For additional investigators, attached a sheet with signature and contact informationBackground: Is this project considered Human subjects research?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If Yes, is research an IRB exempt category?  FORMCHECKBOX  Yes. Stop and use Combined Application to the Research Committee and IRB (IRB Form A).  FORMCHECKBOX  No. Complete this form. Is this project considered Animal research?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Does the project contain potential patentable ideas?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Does the project contain potential for copyright, such as publications?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will the project result in the submission of a proposal to an external funding source?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Please indicate the anticipated duration of the project: (anticipated  FORMTEXT start date to  FORMTEXT completion date),  Key Personnel: Time Commitment and Oversight:For Project Personnel engaging in interventions that require licensure, malpractice insurance, and liability insurance, IF YOU ARE NOT AN 911 EMPLOYEE, please attach copies of Professional Licensure, Malpractice Insurance, and Liability Insurance.Time Commitment: Time commitment for each study personnel should be approved by their cost center manager (Department Chair, Dean, Director etc.). Non-911 employees: in section below, put NA for Cost Center Manager. Name of study personnel:  FORMTEXT       Role in the study (e.g. PI, co-investigator, clinician, etc):  FORMTEXT       Amount of time dedicated to project (hr/wk or %):  FORMTEXT       Cost center manager name:  FORMTEXT       As the person responsible for decisions regarding time allotment of the project personnel, I hereby give consent for the above specified time once the project has met all requirements and received all necessary approvals to begin the project. Signature and Date:  FORMTEXT       For additional investigators, please attach consent from their Cost Center Manager.Oversight of Non-Faculty Personnel For projects that involve human participants, will non-faculty personnel (including residents, student research assistants, interns etc.) be involved in the project?  FORMCHECKBOX  No. Continue to next section.  FORMCHECKBOX  Yes. Names not needed. Indicate all activity(ies) they will be involved in: for each applicable category briefly describe the non-faculty individuals level ofresponsibility andthe manner and frequency for which theindividual will report to the study investigators or key personnel.  FORMCHECKBOX  Recruiting (e.g. Outreach, Facebook postings, etc). Describe  FORMTEXT        FORMCHECKBOX  Screening for Inclusion/Exclusion. Describe  FORMTEXT        FORMCHECKBOX  Baseline visit. Describe  FORMTEXT        FORMCHECKBOX  Informed consent process. Describe  FORMTEXT        FORMCHECKBOX  Interventions. Describe  FORMTEXT        FORMCHECKBOX  Handling data/patient file. Describe  FORMTEXT        FORMCHECKBOX  Data entry. Describe  FORMTEXT        FORMCHECKBOX  In charge of day-to-day file security and maintenance. Describe  FORMTEXT       How do you plan to train your personnel in these activities (such as conduct simulated procedures, develop a Standard Operating Procedure manual, etc)?  FORMTEXT       Location: Indicate where the research will be conducted (specify all locations).  FORMCHECKBOX  Laboratory (Anatomy, Morphometry). Describe in detail including any support services needed:  FORMTEXT        FORMCHECKBOX  Clinics (Lombard, Aurora, Chicago, Florida). Describe in detail including any support services needed:  FORMTEXT        FORMCHECKBOX  Animal Labs. Describe in detail including any support services needed :  FORMTEXT        FORMCHECKBOX  Other NUHS Office Space. Describe in detail including any support services needed:  FORMTEXT        FORMCHECKBOX  Non-NUHS Office Space. Describe in detail including any support services needed:  FORMTEXT         FORMCHECKBOX  All facilities are under the control of the PI  FORMCHECKBOX  All facilities are NOT under the control of the PI. If the project involves the use of specific facilities not under the control of the PI, identify the supervisor of the facility and provide written approval for the use of the facilities. Your Department Chair approves any intra-departmental space and personnel needed. The Dean of Clinics approves clinic space and personnel. Other campus facilities are approved by the VP of Business. It is important for all possible parties affected by research to know about the project and how it involves their facility, even if the involvement is minor (e.g. use of clinic reception staff, clinic or other campus space, etc.). Facility Supervisor Name:  FORMTEXT      As the person responsible for decisions regarding the above requested use of space and/or personnel, I hereby give consent for the use of specified space and/or personnel once the project has met all requirements and received all necessary approvals to begin the project. Signature and Date:  FORMTEXT      For additional locations, please attach approval for use of facility signed by the facility supervisor.  VII. Funding: For projects requesting internal funding: please use the table below to identify what funds may be needed for the success of the project (such as use of Federal Work Study Research Assistants, additional supplies, conference fees, poster fees, etc.). It is recommended that you discuss funds with your Cost Center Manager (Department Chair, Dean, Administration) prior to starting the project. For projects requesting external funding: please attach a copy of the proposed budget, contract, or sub-contract as specified by the funding agency. All projects seeking external funding must receive administrative approval prior to submission to the funding agency.CategoryCostConsultant Fees FORMTEXT      Research Assistants FORMTEXT      Equipment FORMTEXT      Supplies FORMTEXT      Clinic Expenses (lab, radiology, care) FORMTEXT      Travel FORMTEXT      Publishing/Poster Fees FORMTEXT      Other Costs:  FOR'(:>O! 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Signature and Date:  FORMTEXT      If multiple cost centers will be involved, please attach consents from all cost center managers. VIII. ABSTRACT: Write a short abstract (<300 words) which describes the project using non-technical language that can be readily understood by nonscientific individuals. Include: The background and purpose of the study A description of the procedures/methods Anticipated outcomes  FORMTEXT       IX. RESEARCH PLAN Complete the following sections:1. State the hypothesis or purpose of the project.  FORMTEXT      2. Describe in detail the introduction and background (this should include a bibliography of current literature).  FORMTEXT      3. What study design is proposed (example: RCT, clinical trial, cohort, etc.)?  FORMTEXT      4. Define your sample size and where subjects will come from (if applicable, indicate recruitment and inclusion/exclusion criteria).  FORMTEXT      5. Describe the protocol in detail.  FORMTEXT      6. What are the outcome measures for the project? Describe what data will be collected and how it will be collected (example: pain and functionality questionnaires will be collected before and after treatment; investigators will be blinded to treatment group).  FORMTEXT       Have these measures been validated or will you validate the measures in this project?  FORMTEXT      7. How do you plan to analyze the data (such as inferential or descriptive statistics, etc.)?  FORMTEXT      8. Describe the expertise and background of you and your key personnel as they relate to the successful completion of the proposed project.  FORMTEXT       X. SAFETY Does your project involve the use of tissue cultures, cellular and/or sub-cellular organisms, etc.?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Does your project involve the use of pathogens?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Does your project involve the use of hazardous materials?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Does your project involve the use of cadaveric materials?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If you have answered yes to ANY of the above questions, please describe your procedures for appropriate handling and disposal of those materials:  FORMTEXT       XI. Dean of Research Signature* As Dean of Research, I acknowledge that this research is in keeping with the standards set by our University and I assure that the NUHS Primary Investigator has met all University requirements for approval of this research.  FORMTEXT        FORMTEXT       Signature Dean of Research or Designee Print Name and Date *If the Dean of Research is an investigator of this project, this signature must be that of the Acting Chairperson of the Research Committee or his/her Designee.  FORMCHECKBOX  This project is seeking PHS funding and investigators have submitted significant financial interest disclosures according to the NUHS policy on Financial Conflict of Interest in Research. I found no Financial Conflict of Interest. (Dean of Research or designate initials) Investigator: Following approval by the Research Committee/Dean of Research, the next step you will need to pursue is:  FORMCHECKBOX  Review of NUHS Human Protections Policy and Completion of the IRB application  FORMCHECKBOX  Review of NUHS Animal Protections Policy and Completion of the NUHS IACUC application  FORMCHECKBOX  Submission to Administration, then funding agency  FORMCHECKBOX  None     2025 Research Committee Application Page  PAGE 2 February 2022 Principal Investigator Date of Submission Project title Page  PAGE 1 March 2025 FHV~qq d$Ifgd+60}kd$$Ifs0' t064H4 sayt+60prtvxz|~ȼʼ̼μмҼԼּؼڼܼпw_wDDDDDw4jhje hCJOJQJU^JaJmHnHu/jlhje hCJOJQJU^JaJ)jhje hCJOJQJU^JaJ hje hCJOJQJ^JaJ hje hmCJOJQJ^JaJ hje hK5CJOJQJ^JaJ hje h+60CJOJQJ^JaJ)jhje h+60CJOJQJU^JaJ4jhje h+60CJOJQJU^JaJmHnHu~ڼm d$If^gdK5}kd̿$$Ifs0' t064H4 saytEڼܼ~jj$ $If^a$gd@$ $If^a$gdpClkd$$Ifs'-( t064H4 saytjlܼ¾ľؾھܾ޾ ͻkYGYGY#hje hK56CJOJQJ^JaJ#hje hlX6CJOJQJ^JaJ/jvhje h8bSCJOJQJU^JaJ hje h8bSCJOJQJ^JaJ)jhje h8bSCJOJQJU^JaJ#hje hlX5CJOJQJ^JaJ#hje h@5CJOJQJ^JaJ hje h@CJOJQJ^JaJ hje hCJOJQJ^JaJ hje hpCCJOJQJ^JaJjkd|$$Ifs'-( t064H4 saytc- $IfgdK5jkd$$Ifs'-( t064H4 saytc-ڿf p <ݺ{`````O hje hCJOJQJ^JaJ4jhje hmCJOJQJU^JaJmHnHu/jhje hmCJOJQJU^JaJ)jhje hmCJOJQJU^JaJ#hje hm>*CJOJQJ^JaJ hje hmCJOJQJ^JaJ#hje h-35CJOJQJ^JaJ#hje hm5CJOJQJ^JaJ hje hlXCJOJQJ^JaJڿ p hd$If`gdm & F Ld$If`Lgdm d$If^gdm d$Ifgdm<~n 8d$If^gdH^e d$Ifgdmjkd$$Ifs'-( t064H4 saytc-<|~ ͼhLLLLL7jhje h+.5CJOJQJU^JaJmHnHu2jhje h+.5CJOJQJU^JaJ#hje h+.5CJOJQJ^JaJ,jhje h+.5CJOJQJU^JaJ hje h+.CJOJQJ^JaJ hje hd CJOJQJ^JaJ hje hmCJOJQJ^JaJ hje h}oCJOJQJ^JaJ hje hH^eCJOJQJ^JaJ~ d$If^gd[;jkd$$Ifs'-( t064H4 saytc-$d$If^`gd[;jkd,$$Ifs'-( t064H4 saytc- "$&n~ϳϢnTϳϢ2jhje h+.5CJOJQJU^JaJ#hje h+.5CJOJQJ^JaJ hje h+.CJOJQJ^JaJ hje h]@CJOJQJ^JaJ hje hd CJOJQJ^JaJ7jhje h+.5CJOJQJU^JaJmHnHu,jhje h+.5CJOJQJU^JaJ2jhje h+.5CJOJQJU^JaJ$&d$If^`gd]@jkd<$$Ifs'-( t064H4 saytc-(d$If^`gd]@jkdL$$Ifs'-( t064H4 saytc- "$&(*tv׽顡鐐v顡鐐eTeT hje h+.CJOJQJ^JaJ hje hd CJOJQJ^JaJ2jhje h]@5CJOJQJU^JaJ hje h]@CJOJQJ^JaJ7jhje h]@5CJOJQJU^JaJmHnHu2jhje h]@5CJOJQJU^JaJ#hje h]@5CJOJQJ^JaJ,jhje h]@5CJOJQJU^JaJ (*d$If^`gd]@jkd\$$Ifs'-( t064H4 saytc-hT d$If^gd[; 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