Application for SCBR Clearance and Delegated Authority

Instructors who assign student course-based research (SCBR) projects must use this webform to apply to the SLC-REB for clearance and delegated authority to perform ethical review of student research involving human participants.

Please indicate the type of form you are submitting:

Applicant Information

Instructor First Name

Instructor Last Name

Instructor Email

Instructor Department

Is there a co-instructor who is also applying for delegated authority as part of this application?

YesNo

Company

Course Information
Complete the following about the course for which you are applying for SCBR clearance and delegated authority

Program

Course Name

Course Code/Number

Course Year

Course Semester

Course Start Date

Course End Date

Co-PI Information

Co-Instructor #1 (If Applicable)

Co-Instructor Name 1

Co-Instructor Email Address 1

Co-Instructor Affiliation #1

Co-Instructor #2 (If Applicable)

Co-Instructor Name 2

Co-Instructor Email Address 2

Co-Instructor Affiliation #2

Co-Instructor #3 (If Applicable)

Co-Instructor Name 3

Co-Instructor Email Address 3

Co-Instructor Affiliation #3

SLC-REB File Code

Document Submission
Please upload the following documents

SCBR Application Form:

A certificate of completion of the most recent version of TCPS 2-CORE training:

An informed consent form template:

Any other supporting document:

Document Submission
Please upload the following documents

SCBR Application Form:

A certificate of completion of the most recent version of TCPS 2-CORE training:

An informed consent form template:

Any other supporting document:

Contact Information