Think of this assignment as chapter two and three of your research paper. Only submit the Literature review and Proposal (Do not include your Introduction and methodology - especially the references for those sections).
HSRC 1
Wilmington University
Human Subjects Review Committee (HSRC)
Forms Check List
Dissertation
Master’s
Undergraduate
Faculty
Other
Assemble materials in the order shown below.
1. Human Subjects Protocol
2. Human Subjects Certificate
3. Consent Forms
4. Instruments
HSRC 2
WILMINGTON UNIVERSITY
HUMAN SUBJECTS REVIEW COMMITTEE (HSRC)
RECORD AND REVIEW OF RESEARCH PROTOCOL
Contact Information
Principal Investigator: Gurran Gopi Krishna
(Last) (First) (Middle)
Address: 58 Van Reipen Avenue, Apartment 1
City Jeresy City State NJ Zip 07306
Phone: Day Evening Cell
E-Mail: FAX:
Project status
This research is for (check one):
Dissertation Practicum Master’s Undergraduate
Other (specify)
This research proposal is (check one):
New Renewal Re-evaluation
Instructor or assigned faculty sponsor: Johaenna. E.Whatson
Project Information
Title of study: Networking With Voice Over Internet-Protocol(VOIP)
Research purpose or issue:
Voice over Internet Protocol (VoIP) is a technology that allows us to make voice /
telephone calls using a broadband Internet connection instead of a regular phone line, which
has been the method used for the last hundred years. Even though My focus concentration on
VOIP, I need to research on basics of networking like
HSRC 3
Population to be studied: Gender Male Age 25 Race/ethnicity N/A
Number of groups and number of participants in each group:
N/A
Inclusion and exclusion criteria:
N/A
How Subjects will be recruited:
N/A
Describe the procedures that the participants will undergo in the proposed research project
to include the physical location and duration of subject participation (attach a copy of all
research instruments e.g., surveys, questionnaires, interview questions etc.):
N/A
Describe procedures that will be used to maintain confidentiality, including plans for
storing/disposing of tapes and other data records at the conclusion of the research:
N/A
HSRC 4
Research Protocol Please answer yes or no to all questions below.
Does this research involve:
YES NO
prisoners, probationers, pregnant women, fetuses, the seriously ill or mentally
or cognitively compromised adults, or minors (under 18 yrs) as participants
NO the collection of information regarding sensitive aspects of the participants
behavior (e.g., drug, or alcohol use, illegal conduct, sexual behavior
NO the collection or recording of behavior which, if known outside the research,
could place the participants at risk of criminal or civil liability or could be
damaging to the participant’s financial standing, employability, insurability,
or reputation
NO procedures to be employed that present more than minimal risk* to
participants
NO deception or coercion
NO benefits or compensation to participants
NO a conflict of interest (e.g., teacher/student, employer/employee:
is there any financial interest in this research)
If you answered NO to all of the questions please proceed to the next page.
If you answered YES to any of the questions your proposal must clearly indicate why the use
of participants in any of these categories is scientifically necessary and what safeguards will
be employed to preserve the participants anonymity/confidentiality. The proposal must
identify all risks (physical, psychological, financial, social, other) connected to the proposed
procedures, indicate clearly how such risks to participants are reasonable in relation to
anticipated benefits, describe methods to protect or minimize such risks, and access their
likely effectiveness. Consent/assent forms must be included for research involving minors.
minimal risk means that the probability and magnitude of harm or discomfort anticipated in the
proposed research are not greater than those ordinarily encountered in everyday life or during the
performance of routine physical or psychological examinations or tests.
HSRC 5
Consent Forms
YES NO Is a consent form included with this study? If so, attach a copy.
YES NO Are child assent forms included with this study? If so, attach a copy. Minors must provide an affirmative consent to participate by signing a simplified form,
unless the principal investigator can provide evidence that the minors are not capable
of assenting because of age, maturity, psychological state, or other factors.
Who is obtaining consent? Check all that apply:
Principal Investigator Research Assistant Other (specify)
How is consent being obtained?
What steps are being taken to determine that potential subjects are competent to participate in
the decision-making process?
Obligations of Principal Investigator:
HSRC meets on the second Thursday of each month September to May and twice during the
summer months. Protocol must be received two weeks before that date.
Any changes made to the research protocol must be reported to division representatives of the
HSRC for review prior to implementation of such change. Any complications, adverse
reactions, or changes in the original estimates of risks must be reported at once to the HRSC
chairperson before continuing the project.
Any data collection that extends beyond one year must be resubmitted before the anniversary
for continuing review by the HSRC.
According to federal regulation all data, including signed consent form documents must be
retained for a minimum of three years past the completion of the research.
I have read and understand my obligations as an investigator. I certify that the research
proposal is accurate and complete.
Print name: Gopi Krishna gurram
Signature: gkg Date:9/9/16
Instructor or Assigned Faculty Sponsor:
Print name:
Signature: Date
HSRC 6
WILMINGTON UNIVERSITY
HUMAN SUBJECTS REVIEW COMMITTEE (HSRC)
PROTOCOL REVIEW
This section is to be completed by the HSR Committee Person.
Principal Investigator:
Date submitted:
The protocol and attachments were reviewed:
The proposed research is approved as:
Exempt Expedited Full Committee
The proposed research was approved pending the following changes:
See attached letter
Resubmit changes to the HSRC chairperson
The proposed research was disapproved:
See attached letter for more information.
HSRC Chair
or Representative
Print name
Signature Date:
HSRC Chair
Or Representative
Print name
Signature Date: