Forms

Unless otherwise noted, these forms are in Microsoft Word doc format and must be downloaded from SharePoint using your Winthrop user name and password. See Instructions to Log-on to Sharepoint (PDF - 1.7 MB) for more details. If you do not have Microsoft Word installed on your computer, you can download Open Office for free.

Contract and Grant Forms

• Intent to Apply for External Funding Form (PDF - 203 KB)
• Instructions for Using Electronic Signature for Grant Routing and Authorization Form (PDF - 237 KB)
• Grant Authorization Form (PDF - 115 KB)
• Contract Authorization Form (PDF - 167 KB)
• Disclosure of Financial Interest
• Intellectual Property Rights
• Responsible Conduct of Research Certification

Compliance Committees

Institutional Animal Care and Use Committee (IACUC)

• IACUC001 - Faculty/Student Research Standard Form [Guidelines (PDF - 147 KB)]
• IACUC001A - Schedule A - Husbandry [Guidelines (PDF - 191 KB)]
• IACUC001B - Schedule B - Surgical Procedures [Guidelines (PDF - 198 KB)]
• IACUC001C - Schedule C - Biohazard Materials [Guidelines (PDF - 194 KB)]
• IACUC001D - Schedule D - Non-surgical Injections [Guidelines (PDF - 188 KB)]
• IACUC002 - Classroom Study [Guidelines (PDF - 35 KB)]
• IACUC002S - Student Classroom Research Project [Guidelines (PDF - 33 KB)]
• Live Animal Tracking Form
• Status of IACUC Approved Projects

Institutional Biosafety Committee (IBC)

• Biohazardous Materials Declaration Form
• Exempt Protocol Request Form
• Status of IBC Approved Projects
• BSL1 Checklist
• BSL2 Checklist

Institutional Review Board (IRB)

Protocol Forms

• Request for Review of Research Involving Human Subjects
• Request for Modification of Previously Approved or Exempt Protocol
• Collaborative Research Approved by a Non-Winthrop IRB

Informed Consent Forms

• Informed Consent Agreement - Standard Template for Adult Subjects
• Informed Consent Agreement - Online Surveys for Adult Subjects
• Informed Consent Agreement - Focus Group for Adult Subjects
• Parental/Guardian Permission for a Minor Child to Participate in a Research Study
• Assent to Participate in a Research Study (Subjects Ages 7-14 Years)
• Assent to Participate in a Research Study (Subjects Ages 15-17 Years)

HIPAA

• Authorization
• Authorization Waiver

Other Forms

• Adverse Event Report
• Debriefing Form
• Status of IRB Approved Research Projects
• Status of IRB Approved-Expedited Research Projects

Post-Award / Grant Accounting Forms

• Cost Sharing Documentation Form

Research Council Forms

• Faculty Research (PDF - 702 KB)
• Faculty Research with Student as Co-Investigator (PDF - 664 KB)
• Research Council Grant Final Report