About the ethics research
REAF_BA_MA_BA MA REAF Form.pdf
REAF_BA_MA - Version 4.0
1
UNICAF UNIVERSITY RESEARCH ETHICS APPLICATION FORM
The Research Ethics Application Form (REAF) should be completed by:
• Bachelor’s students undertaking undergraduate final year projects requiring relevant ethics review and consideration.
• Master’s students in academic programmes with research based dissertation / project modules.
Important Notes:
• For students at all levels, an electronic version of the completed form should be uploaded to the relevant submission link in the VLE. Your supervisor will then review this and provide feedback commentary. Once initial approval is given, then the supervisor will forward this on, for final approval by the Unicaf University Research Ethics Committee (UREC).
• Please type your application and do not submit paper copy scans. Only PDF or Word format documents should be submitted to the Committee.
• If you need to supply any supplementary material, not specifically requested by the application form, please do so in a separate file. Any additional document(s) should be clearly labelled and uploaded in the relevant VLE link.
• If you have any queries completing the form, please address them to your project supervisor.
2
UREC USE ONLY: Application No:
Date Received:
1. External Research Funding:
a. Do you have any external funding for your research?
b. Please list any external (third party) sources of funding you plan to utilise for your project. You need to include full details on the source of funds (e.g. state, private or individual sponsor), any prior / existing or future relationships between the funding body / sponsor and any of the principal investigator(s) or co-investigator(s) or student researcher(s), status and timeline of the application and any conditions attached (maximum 100 words).
c. If there are any perceived ethical issues or potential conflicts of interest arising from applying for and receiving external funding for the proposed research then these need to be fully disclosed below (maximum 100 words).
YES NO
If YES, please answer questions 1b and 1c.
UNICAF UNIVERSITY RESEARCH ETHICS APPLICATION FORM
Student’s Name:
Student’s E-mail Address:
Student's ID #:
Supervisor’s Name:
University :
Program of Study:
Research Project Title:
REAF_BA_MA - Version 4.0
3
Provide details of the research setting (i.e. school, company) and location at which you will apply your research project (maximum 200 words).
2. The research project
2a. Project Summary: In this section please fully describe the purpose and underlying rationale for the proposed research project. Ensure that you pose the research questions to be examined, state the hypotheses, and discuss the expected results of your research and their potential. It is important in your description to use plain language so it can be understood by all members of the UREC, especially those who are not necessarily experts in the particular discipline. To that effect please ensure that you fully explain / define any technical terms or discipline-specific terminology (maximum 300 words +/- 10%).
2b.
REAF_BA_MA - Version 4.0
4
3. Project execution:
3a. The following study is an (please tick one):
experimental study (primary research)
desktop study (secondary research)
desktop study using existing databases involving information of human/animal subjects
Other
3b. Methods. The following study will involve the use of:
Method Materials / Tools
Qualitative
Quantitative
*If you have chosen ‘Other’ please Explain:
If you have chosen 'Other', please Explain:
REAF_BA_MA - Version 4.0
Face to Face Interviews
Phone Interviews
Face to Face Focus Groups
Online Focus Groups
Other *
Self-administered Questionnaires
Online Questionnaires
Experiments
Tests
Other *
If YES, please complete all following sections.
If NO, please directly proceed to Question 5.
5
3c. Describe how you will analyse your data (maximum 200 words).
3d. Describe the expected results of your research project (maximum 150 words).
4. Participants
4a. Does the Project involve the recruitment and participation of additional persons
other than student/researcher?
YES
NO
Note: The definition of “participation” includes active participation, such as when participants knowingly take part in an interview or complete a questionnaire.
REAF_BA_MA - Version 4.0
6
Number of participants
Age range From To
Female
Male
Gender
Eligibility Criteria:
• Exclusion criteria
Disabilities
Other relevant information (maximum 100 words):
• Inclusion criteria
4c. Recruitment Process for Human Research Participants:
Please clearly describe how the potential participants will be identified, approached and recruited (maximum 200 words).
4b. Relevant Details of the Participants of the Proposed Research
Please state the number of participants you plan to recruit, and describe important characteristics such as: demographics (e.g. age, gender, location, affiliation, level of fitness, intellectual ability etc). It is also important that you specify any inclusion and exclusion criteria that will be applied (e.g. eligibility criteria for participants).
REAF_BA_MA - Version 4.0
7
5. Potential Risks of the Proposed Research Study
5a. Are there any potential risks, psychological harm and/or ethical issues associated with the proposed research study, other than risks pertaining to everyday life events (such as the risk of an accident when travelling to a remote location for data collection)?
YES NO
If YES, please specify (maximum 150 words).
4d. Research Participants Informed Consent.
Categories of participants Form to be completed
Typically Developing population(s) above the maturity age *
Informed Consent Form
Typically Developing population(s) under the maturity age *
Guardian Informed Consent Form
Select below which categories of participants will participate in the study. Complete the relevant Informed Consent form and submit it along with the REAF form.
* Maturity age is defined by national regulations in laws of the country in which the research is being conducted.
4e. Relationship between the principal investigator and participants.
Is there any relationship between the principal investigator (student), co- investigators(s), (supervisor) and participant(s)? For example, if you are conducting research in a school environment on students in your classroom (e.g. instructor-student).
YES NO
If YES, please specify (maximum 100 words):
REAF_BA_MA - Version 4.0
Yes No
5b. Please choose the appropriate option:
Yes No
i. Will you obtain written informed consent form from all participants?
Does the research involve as participants, people whose ability to give free and
informed consent is in question?
Does this research involve participants who are children under maturity age?
If you answered YES to question iii, please complete all following questions. If you answered NO to question iii, please do not answer Questions iv, v, vi and proceed to Questions vii, viii, ix and x.
Will all data be treated as confidential? If NO, please explain why confidentiality of the collected date is not appropriate for this proposed research project, providing details of how all participants will be informed of the fact that any data which they will provide will not be confidential.
Will the research tools be implemented in a professional educational setting in the
presence of other adults (i.e. classroom in the presence of a teacher)?
Will informed consent be obtained from the legal guardians (i.e. parents) of children?
Will verbal assent be obtained from children?
Will all participants /data collected be anonymous?
If NO, explain why and describe the procedures to be used to ensure the anonymity of participants and/or confidentiality of the collected data both during the conduct of the research and in the subsequent release of its findings.
ii.
iii.
vii.
viii.
iv.
v.
vi.
REAF_BA_MA - Version 4.0
8
9
Yes No
Have you ensured that personal data and research data collected from participants will be securely stored for five years?
Does this research involve the deception of participants? If YES, please describe the nature and extent of the deception involved. Explain how and when the deception will be revealed, and who will administer this debrief to the participants:
5c. Are there any other ethical issues associated with the proposed research study that are not already adequately covered in the preceding sections?
5d. Please indicate the Risk Rating.
High Low
ix.
x.
Yes No
If YES, please specify (maximum 150 words).
6. Further Approvals
Are there any other approvals required (in addition to ethics clearance from UREC) in order to carry out the proposed research study?
YES NOO
If YES, please specify (maximum 100 words).
REAF_BA_MA - Version 4.0
10
7. Data collection and management (storage, access and disposal of research data)
Please mark √ all that apply:
All participants will be anonymous.
All data will be treated as confidential.
Numbers or pseudonyms will be used for all names of people, places or organisations in order to ensure anonymity.
Numbers or pseudonyms linked to names of people, places or organisations will be securely stored.
I confirm that my research records will be held securely.
Data and/or electronic data will be stored for 5 years on a personal computer and the computer will be password protected/encrypted, so will any document files.
All paper data will be destroyed and all electronic data will be completely deleted 5 years after the end of the project.
Only the researcher and the Supervisor of this study will have access to the data collected.
I confirm that a Gatekeeper’s letter (uploaded on the VLE course platform) will be provided to the appropriate Institution (school, principal, company Director etc.
REAF_BA_MA - Version 4.0
11
8. Reporting of results
8a. Will the project outcomes be made public at the end of the project?
If YES, describe the intended report and how and to whom it will be made available.
If NO, explain why not (maximum 250 words).
8b. Will report(s) of the project outcomes be made available to participants at the end of the project?
If YES, describe the intended report and how it will be made available.
If NO, explain why not (maximum 250 words).
Yes
No
Yes
No
REAF_BA_MA - Version 4.0
12
9. Application Checklist
Please mark √ if the study involves any of the following:
Children and young people under 18 years of age, vulnerable populations such as children with special educational needs (SEN), racial or ethnic minorities, socioeconomically disadvantaged, pregnant women, elderly, malnourished people, and ill people.
Research that foresees risks and disadvantages that would affect any participant of the study such as anxiety, stress, pain or physical discomfort, harm risk (which is more than is expected from everyday life) or any other act that participants might believe is detrimental to their wellbeing and / or has the potential to / will infringe on their human rights / fundamental rights.
Risk to the well-being and personal safety of the student.
Administration of any substance (food / drink / chemicals / pharmaceuticals / supplements / chemical agent or vaccines or other substances (including vitamins or food substances) to human/animal participants.
Results that may have an adverse impact on the natural or built environment.
10. Further documents
ATTACHED NOT APPLICABLE
1 Recruitment advertisement (if any)
2 Informed Consent Form / Guardian Informed Consent Form
3 Research Tool(s)
4 Gatekeeper Letter
5 Any other approvals required in order to carry out the proposed research study, e.g., institutional permission (e.g. school principal or company director) or approval from a local ethics or professional regulatory body.
Please check that the following documents are attached to your application:
REAF_BA_MA - Version 4.0
13
11. Final Declaration by Applicants
(a) I declare that this application is submitted on the basis that the information it contains is confidential and will only be used by Unicaf University for the explicit purpose of ethical review and monitoring of the conduct of the research proposed project as described in the preceding pages.
(b) I understand that this information will not be used for any other purpose without my prior consent, excluding use intended to satisfy reporting requirements to relevant regulatory bodies.
(c) The information in this form, together with any accompanying information, is complete and correct to the best of my knowledge and belief and I take full responsibility for it.
(d) I undertake to abide by the highest possible international ethical standards governing the Code of Practice for Research Involving Human Participants, as published by the UN WHO Research Ethics Review Committee (ERC) on http://www.who.int/ethics/research/en/ and to which Unicaf University aspires to.
(e) In addition to respect any and all relevant professional bodies’ codes of conduct and/or ethical guidelines, where applicable, while in pursuit of this research project.
(f) I will report any changes affecting the ethical aspects of the project to the Unicaf University Research Ethics Committee (UREC). Note: In the case of student projects the responsibility lies with the Faculty Dissertation / Project Supervisor.
(g) I will report any adverse or unforeseen events which might occur to the relevant Unicaf University Research Ethics Committee (UREC). Note: In the case of student projects the responsibility lies with the Faculty Dissertation/Project Supervisor.
Student’s Name:
Supervisor’s Name:
Date of Application:
Important Note: Please now save your completed form (we suggest you also print a copy for your records) and then submit it to your UU Dissertation/project supervisor (tutor). In the case of student projects the responsibility lies with the Faculty Dissertation/Project Supervisor. If this is a student application, then it should be submitted via the relevant link in the VLE. Please submit only electronically filled in copies; do not hand fill and submit scanned paper copies of this application.
I agree with all points listed under Question 11
REAF_BA_MA - Version 4.0
- The Research Ethics Application Form (REAF) should be completed by:
- Student's E-mail Address:
- Program of Study:
- Application No:
- Check Box5: Off
- Check Box6: Off
- Check Box7: Off
- E e:
- Check Box18: Off
- Check Box2: Off
- Check Box4: Off
- Check Box9: Off
- Check Box10: Off
- Check Box11: Off
- Check Box12: Off
- Check Box19: Off
- Check Box14: Off
- Check Box15: Off
- Check Box16: Off
- Check Box17: Off
- Text2:
- Text1:
- Text3:
- Check Box8: Off
- Number of Participants:
- h:
- Text22:
- Text23:
- Check Box24: Off
- Check Box25: Off
- e:
- f:
- g:
- Group8: Off
- 5a:
- Group9: Off
- Group10: Off
- Group11: Off
- Group12: Off
- Group13: Off
- Group14: Off
- Group15: Off
- P:
- O:
- Group19: Off
- S:
- Group18: Off
- Group16: Off
- Group17: Off
- R:
- q6a:
- Check Box20: Off
- Check Box21: Off
- Check Box22: Off
- Check Box23: Off
- Check Box26: Off
- Check Box27: Off
- Check Box28: Off
- Check Box29: Off
- Check Box30: Off
- 8a:
- 8b:
- Check Box34: Off
- Check Box35: Off
- Check Box36: Off
- Check Box37: Off
- Check Box38: Off
- Group21: Off
- Group22: Off
- Group23: Off
- Group24: Off
- Group25: Off
- Check Box39: Off
- Student's Name:
- Supervisor's Name:
- Date40_af_date:
- Reset:
- Group8a: Off
- Group8b: Off
- Student's ID #:
- M:
- 1b:
- 1c:
- 2a:
- 2b:
- 4c:
- 4d1: Off
- 4d2: Off
- 4e: Off
- 5a1: Off
- Group1a: Off
- Research Project Title:
- Partner University: [Choose from the list]
- Date rec_af_date:
- Group4a: Off
- Grouppage 9 q 6: Off
REAF_BA_MA_G_ BA MA REAF Guidelines.pdf
REAF-G- Version 1.0
Unicaf University Research Ethics application Forms Guidelines
REAF_BA_MA_G- Version 1.0
1
UNICAF UNIVERSITY
RESEARCH ETHICS APPLICATION FORMS GUIDELINES
Contents General Information ........................................................................................................................................................... 2
A. REAF Form Completion Guidelines ......................................................................................................................... 3
Personal information ...................................................................................................................................................... 3
1. External Research Funding (if applicable): .......................................................................................................... 3
2. The research project .............................................................................................................................................. 3
3. Project Execution .................................................................................................................................................. 3
4. Participants ........................................................................................................................................................... 4
5. Potential Risks of the Proposed Research Study. ................................................................................................. 5
6. Further Approvals ................................................................................................................................................. 8
7. Data collection and management (storage, access and disposal of research data) ................................................ 8
8. Reporting of results ............................................................................................................................................... 8
9. Application Checklist ........................................................................................................................................... 8
10. Further documents ............................................................................................................................................ 8
11. Final Declaration by Applicants ....................................................................................................................... 8
B. Informed Consent Form ............................................................................................................................................ 9
C. Guardian Informed Consent Form .......................................................................................................................... 10
D. Gatekeeper Letter Guidelines .................................................................................................................................. 11
REAF_BA_MA_G- Version 1.0
2
General Information
The Research Ethics Application Form (REAF) should be completed by:
• Bachelor’s students undertaking undergraduate final year projects requiring relevant ethics review and consideration.
• Master’s students in academic programmes with research based dissertation / project modules.
Important Notes:
• For students at all levels, an electronic version of the completed form should be uploaded to the relevant submission link in the VLE. Your supervisor will then review this and provide
feedback commentary. Once initial approval is given, then the supervisor will forward this on,
for final approval by the Unicaf University Research Ethics Committee (UREC).
• Please type your application and do not submit paper copy scans. Only PDF or Word format documents should be submitted to the Committee.
• If you need to supply any supplementary material, not specifically requested by the application form, please do so in a separate file. Any additional document(s) should be clearly labelled and
uploaded in the relevant VLE link.
• If you have any queries completing the form, please address them to your project supervisor.
This document provides information and guidelines to be followed during the completion of the
form. A short description of the information to be included in each section will be provided
below.
REAF_BA_MA_G- Version 1.0
3
A. REAF Form Completion Guidelines
Personal information
This section requires student’s and supervisor’s personal information. The student/researcher should
use the drop-down lists to choose the university and pathway s/he is enrolled in.
1. External Research Funding (if applicable):
a. If you have external funding for your research, answer YES and answer the questions 1b and 1c.
b. Please list any external (third party) sources of funding you plan to utilise for your project. You need to include full details on the source of funds (e.g. state, private or individual
sponsor), any prior / existing or future relationships between the funding body / sponsor and
any of the principal investigator(s) or co-investigator(s) or student researcher(s), status and
timeline of the application and any conditions attached.
c. If there are any perceived ethical issues or potential conflicts of interest arising from applying for and receiving external funding for the proposed research then these need to be fully
disclosed below and also further elaborated on, in the relevant sections on ethical
considerations later on in this form.
2. The research project
This section has two subsections, namely a. Project Summary and b. Significance of the Proposed
Research Study and Potential Benefits.
a. Project Summary
In this section please fully describe the purpose and underlying rationale for the proposed research
project. Ensure that you pose the research questions to be examined, state the hypotheses, and
discuss the expected results of your research and their potential.
It is important in your description to use plain language so it can be understood by all members of
the UREC, especially those who are not necessarily experts in the particular discipline. To that
effect please ensure that you fully explain / define any technical terms or discipline-specific
terminology. Please note that there is a word limit of 300 words (+/- 10%).
b. Provide details of the research setting (i.e. school, company) and location at which you will apply your research project (maximum 200 words).
Describe where the research is going to take place. If it is a company/school and in which
geographical area you will conduct your research project.
3. Project Execution
This section focuses on the description of the specifics of the research project. This involves the
description of whether the study is experimental, desktop study etc. and defines which method(s) is
to be employed for data collection.
a. Type of project
REAF_BA_MA_G- Version 1.0
4
Under point 4.a. students should choose only one option out of the four provided options. To be
precise students should indicate whether the research project is:
- An experimental study hence, involves primary research. Primary research assumes the participation of human individuals in the study. Participants may, among others, complete a
questionnaire, participate in an interview or both. As a result, primary research aims at
generating data which are later on analysed.
- A desktop study hence, involves secondary research (secondary refers to published work). Secondary research assumes that the research conducted is a summary, collation and/or
synthesis of existing research. It does not involve the generation of data but it uses primary
research as a source for data analysis.
- A desktop study using existing databases involving information of human/animal subjects. This type of desktop study is characterised as a secondary research despite the (meta)analysis
of primary data by accessing existing databases as the data analysed have been collected by
other researchers.
In the case that none of the three options above are suitable the student is advised to choose the final
option ‘Other’ and indicate briefly what will the study involve.
b. Methods
In point 4b. students have to choose which method (qualitative and/or quantitative) will be used.
After defining which method will be followed the tools/materials to be used should also be defined.
Students may choose more than one option here as multiple methods and/or tools/materials may be
used in order to achieve triangulation of data.
In the case that none of the options provided are suitable the student is advised to choose the final
option ‘Other’ and indicate briefly what will the study involve.
c. Describe how you will analyse your data
Please indicate the way you plan to analyse your data. To be precise specify whether a statistical
software will be used and refer to the methods followed (maximum 200 words).
d. Describe the expected results of your research project
In this section please describe what the expected outcome of the research project. Specify what
answers you expect to find to your research questions (maximum 150 words).
4. Participants
Information on potential participants should be provided in this section. The definition of
“participation” includes active participation, such as when participants knowingly take part in an
interview or complete a questionnaire.
a. Participants recruitment
If participants are taking part in the research project Question 4a. should be ticked as ‘Yes’ and all
other relevant information should be listed under Question 4b. If you have answered NO please
proceed directly to Question 8.
REAF_BA_MA_G- Version 1.0
5
b. Participant details
Information provided in this section should refer to the number of participants involved, their age
range and gender. Also, information related to inclusion and exclusion criteria should be provided.
In the case of a case study it should be specified under the inclusion criteria which restrictions will
apply. If a research project studies topic X in private education in Cyprus then under inclusion criteria
the following information should be provided:
i. Participants are from Cyprus ii. Participants are owners of institutions within private education sector etc.
Exclusion criteria may refer to participants being below 80 years old.
Further information on participants’ disabilities if any should also be provided under the relevant
section. Any learning, mobility, language and/or any other disability should be mentioned here as
this may render the research a ‘high risk’ study due to the vulnerability of the participants.
c. Recruitment process
In this section students should describe how the potential participants will be identified, approached
and recruited. That is, it should be indicated whether the researcher will contact the participants face
to face to ask them to participate in the study or whether an email will be sent. If an email will be
sent it should be defined where the researcher will find participant’s information (email account).
Please note that there is a word limit of 200 words.
d. Research Participants Informed Consent
Select below which categories of participants will participate in the study. Complete the relevant
Informed Consent form and submit it along with the REAF form.
Informed Consent Form is completed by Typically Developing population(s) above the maturity
age*
Guardian Informed Consent Form is completed by the legal guardian (i.e. parent) of any participant
who:
1. is under maturity age*. 2. is mentally impaired therefore is not able to provide his/her own consent irrespective of
the age (please refer to Question 5).
*Maturity age is defined by national regulations in laws of the country in which the research is being
conducted.
e. Relationship between the principal investigator and participants
A description of the relationship between the principal investigator and participants should be clearly
defined. For example, if you are conducting research in a school environment on students in your
classroom (e.g. instructor-student) or asking employees of your own company to complete
questionnaires on leadership styles (e.g. employer - employee).
If there is a relationship between the principal investigator and participants, answer YES and specify in the box (maximum 100 words).
5. Potential Risks of the Proposed Research Study.
REAF_BA_MA_G- Version 1.0
6
The purpose of this section is to identify the hazards and associated risks related to the research
activities which are carried out for the purpose of research project/dissertations.
It is important that researchers consider what hazards -the potential of harm- may arise in the course
of their research activities both of their own safety and for the safety of their participants. Then
researchers should consider the measures required to reduce the level of risk -the probability of that
harms occurring within a defined time interval and the severity of its consequences- posed by these
hazards to safeguard health and safety.
Potential risks, psychological harm and/or ethical issues associated with the proposed research study,
other than risks pertaining to everyday life events, such as the risk of a road accident when travelling
to a remote location for data collection, should be provided in this section.
In order to be able to provide the correct information researchers should be familiarised with the
following definitions:
- Risk Assessment: The process of deciding on actions to be taken to reduce risk to an acceptable level, preferably, “low” or “high” through the implementation of control measures /
procedures. Risk Assessment involves consideration of physical and psychological risks
along with the protection of privacy. The student / researcher must develop procedures that
reduce and minimize any risks to human participants.
- Risk Rating: the simplest form of risk assessment is to rate risk as “low” or “high”, depending on how likely the activity is to cause harm and how serious that harm might be.
- Low Risk: Harm arises under controlled conditions. Low risk activities show that you have correctly identified a hazard, but that in the particular circumstances, the risk is insignificant.
No more than minimal risk is greater than what is typically encountered in everyday life.
Low Risk research activities do not involve:
o Those who are considered vulnerable (persons who are incapable of protecting their own interests):
▪ Children under 18. ▪ Persons who have relative or absolute impairments in decisional capacity,
education, resources, strength, or other attributes needed to protect their own
interests.
▪ People who are marginalized, stigmatized, or face social exclusion or prejudice that increases the likelihood that others place their interests at risk,
whether intentionally or unintentionally.
▪ Individuals in hierarchical relationships. ▪ Institutionalized persons. ▪ Women under specific circumstances: e.g. studies with female or transsexual
sex workers; research on sexual and intimate partner violence; studies with
trafficked women, refugees and asylum seekers.
▪ People living with special needs. ▪ Homeless persons, nomads, refugees or displaced persons. ▪ People with incurable or stigmatized conditions or diseases. ▪ People faced with physical frailty, for example, because of age and co-
morbidities.
▪ Individuals who are politically powerless. ▪ Members of communities unfamiliar with modern medical concepts. ▪ All research with children and young people under 18 covered by this Risk
REAF_BA_MA_G- Version 1.0
7
Assessment is carried out in the presence of a parent, legal guardian or a
professional with a duty of care in a professional setting with children and/or
young people. Parental/legal guardian or carer consent should be taken prior
to undertaking the research; these forms will be completed at a later stage.
o Significant psychological stress or anxiety, or humiliation (make someone feel ashamed and foolish by injuring their dignity and pride) or cause of more than fleeting
harm / negative consequences beyond the risks encountered in the normal life of
participants.
o Discussion of a sensitive or controversial topic in an interview that has potential to cause distress to participants because it delves into personal histories or traumatic
experiences and provokes strong feelings in respondents.
o administration of drugs, placebos or other substances as part of this study. o Intervention procedures that are used for diagnosis or treatment. o Offer any financial inducement to participate in this study. o Serving prisoners or serving young offenders. o Deception, coercion or manipulation of behaviour.
- High Risk: More than minimal risk exists when the possibility of physical or psychological harm or harm related to breach of confidentiality or invasion of privacy is greater than what
it typically encountered in everyday life.
Unicaf University follows the international guidelines for research with human participants, as
prepared by CIOMS (Council for International Organizations of Medical Sciences) in collaboration
with the World Health Organization (WHO). The document, International Ethical Guidelines for
Health-related Research Involving Humans, Geneva (2016), indicates how the ethical principles set
forth in the Declaration of Helsinki of the World Medical Association could be effectively applied,
particularly in low-resource settings: https://cioms.ch/wp-content/uploads/2017/01/WEB-CIOMS-
EthicalGuidelines.pdf
Note: Participants’ identity/data will be considered confidential if an assigned ID code or number is
used, but it will not be anonymous. Anonymous data are defined as those which cannot be in any
way traced back to an individual participant.
a. Please indicate if there are any potential risks, psychological harm and/or ethical issues associated with the proposed research study, other than risks pertaining to everyday life
events (such as the risk of an accident when travelling to a remote location for data
collection)?
If there are any potential risks, psychological harm and/or ethical issues associated with the proposed
research study point 5a should be ticked as ‘Yes’ and all other relevant information should be
specified (maximum 150 words).
b. Please choose the appropriate option
Please answer YES or NO to the questions i-x and provide additional information.
c. Are there any other ethical issues associated with the proposed research study that are not already adequately covered in the preceding sections?
If there are any other ethical issues please describe in the box (maximum 150 words).
d. Please indicate the Risk Rating.
REAF_BA_MA_G- Version 1.0
8
Risk rating of the Proposed Research Study is indicated as High or Low.
6. Further Approvals
At this point information of any other approval needed, other than the ethics clearance from UREC,
should be provided. If any kind of institutional permission (e.g. school principal or company director)
or approval from a local ethics or professional regulatory body is required should be included here.
All researchers are advised to check the regulations pertaining to research and General Data
Protection Regulation (GDPR) of the country in which the research will take place as each country
may have different restrictions on conducting research. If your answer is YES, please provide more information (maximum 100 words).
7. Data collection and management (storage, access and disposal of research data)
Please mark all the points that apply from the list. The list indicates how the collected research data
will be stored, accessed and disposed.
8. Reporting of results
a. Will the project outcomes be made public at the end of the project?
At this point if you answered YES, describe the intended report and how and who will have access
to the report. If you answered NO, explain why the project outcome will not be made public
(maximum 250 words).
b. Will report(s) of the project outcomes be made available to participants at the end of the project?
If participants will have access to the project outcomes, answer YES and describe the intended report
and how it will be made available. If you answered NO, explain the reason why it will not be available
to participants (maximum 250 words).
9. Application Checklist
All research students should read carefully the points listed under Question 9 and tick which ones
apply to his/her research.
10. Further documents
Check from the list below which documents are applicable to your Research Project and make sure
you complete and submit them with your application.
11. Final Declaration by Applicants
It is strongly advised that all research students read carefully all points under the final declaration
and sign that they agree with all points mentioned.
After printing student’s name and as this is a student application it should be submitted via the
relevant link in the VLE. Please submit only electronically filled in copies; do not hand fill and submit
scanned paper copies of this application.
REAF_BA_MA_G- Version 1.0
9
B. Informed Consent Form
Part 1: Debriefing of Participants This section requires student’s and supervisor’s personal information. The student should use the
drop-down lists to choose the university and type the program of study s/he is enrolled in. Write your
Research Project Title and the date below.
Provide a short description (purpose, aim and significance) of the research project, and explain why
and how you have chosen this person to participate in this research. Please note that there is a word
limit of 150 words.
The student should sign the form at the bottom of page 1.
Please note that the copy of Part 1: Debriefing of Participants should be given to the Participant.
Part 2: Certificate of Consent
The section with personal information will be filled up for you if you completed Part 1 of the Form.
Fill up the box with Participant’s Print name and Date. The participant should sign the form.
If a Participant is illiterate, the Witness’s name and signature is required.
Please note that the copy of Part 2: Certificate of Consent should be collected and retained for
archiving purposes.
REAF_BA_MA_G- Version 1.0
10
C. Guardian Informed Consent Form Part 1: Debriefing of Participants
This section requires student’s and supervisor’s personal information. The student/researcher should
use the drop-down lists to choose the university and type the program of study s/he is enrolled in.
Write your Research Project Title and the date below.
Provide a short description (purpose, aim and significance) of the research project, and explain why
and how you have chosen this person to participate in this research. Please note that there is a word
limit of 150 words.
The student should sign the form at the bottom of page 1.
Please note that the copy of Part 1: Debriefing of Participants should be given to the legal guardian
of the participant.
Part 2: Certificate of Consent
This section is mandatory and should to be signed by the participant’s legal guardian.
The section with personal information will be filled up for you if you completed Part 1 of the Form.
Type the names of legal guardian and name of participant in the fields as follow: I, (name of legal guardian) the legal guardian of (name of participant) allow and provide consent
that (name of participant) can willingly participate in the study.
I, (name of legal guardian), the legal guardian of (name of participant) have been ensured that
verbal consent given by (name of participant) will also be taken before the study.
Legal guardian – the parent of the participant or a professional with a duty of care in a professional
setting with children and/or young people.
Please note that the copy of Part 2: Certificate of Consent should be collected and retained for
archiving purposes.
REAF_BA_MA_G- Version 1.0
11
D. Gatekeeper Letter Guidelines
Follow the structure of the form and provide relevant information for each section.
• Student’s and Supervisor’s personal information. • Project / research topic and area • Research Project description • Describe what would be required of the person, for example, sending an e-mail on your behalf,
allowing you to recruit on their premises, giving you access to personal data after participants
have consented, allow children to complete experiments during school hours etc. Include the
estimated time for the engagement of this person.
UU_GIC_Guardian Inform Consent Form.pdf
1
Guardian Informed Consent Form
Part 1: Debriefing of Participants
Student’s Name:
Student’s E-mail Address:
Student ID #:
Supervisor’s Name:
University Campus:
Program of Study:
Research Project Title:
Date:
Provide a short description (purpose, aim and significance) of the research project, and explain why and how you have chosen this person to participate in this research (maximum 150 words).
The above named Student is committed in ensuring participant’s voluntarily participation in the research project and guaranteeing there are no potential risks and/or harms to the participants.
Participants have the right to withdraw at any stage (prior or post the completion) of the research without any consequences and without providing any explanation. In these cases, data collected will be deleted.
All data and information collected will be coded and will not be accessible to anyone outside this research. Data described and included in dissemination activities will only refer to coded information ensuring beyond the bounds of possibility participant identification.
, ensure that all information I, stated above is true and that all conditions have been met.
Student’s Signature:
UU_GIC - Version 2.1
UU_GIC - Version 2.1
2
Guardian Informed Consent Form
Part 2: Certificate of Consent
This section is mandatory and should to be signed by the participant’s legal guardian
I, , the legal guardian
allow and provide consent
can willingly participate in the study.
, the legal guardian
have been ensured that verbal consent
l will also be taken before the study.
of
that
I,
of
given by
Student’s Name:
Student’s E-mail Address:
Student ID #:
Supervisor’s Name:
University Campus:
Program of Study:
Research Project Title:
I have read the foregoing information about this study, or it has been read to me. I have had the opportunity to ask questions and discuss about it. I have received satisfactory answers to all my questions and I have received enough information about this study. I understand that the participant is free to withdraw from this study at any time without giving a reason for withdrawing and without negative consequences. I consent to the use of multimedia (e.g. audio recordings, video recordings) for the purposes of the participation to this study. I understand that all data will remain anonymous and confidential, unless stated otherwise.
- Text6:
- Student's Name:
- Student's E-mail Address:
- Student's ID #:
- Supervisor's Name:
- Program of Study:
- 30 words:
- Date5_af_date:
- Name of legal guardian:
- Name of participant:
- Reset:
- Partner University: [Choose from the list]
- Student's Signature:
UU_GL_Gatekeeper letter.pdf
Gatekeeper letter
Address:
Date:
UU_GL - Version 2.0
Yours Sincerely,
Student’s Name: Student’s E-mail: Student’s Address and Telephone: Supervisor’s Title and Name: Supervisor’s Position: Supervisor’s E-mail:
Subject:
- Date5_af_date:
- Reset:
- Address:
- Subject:
- insert project / research topic and area: Dear XXXX, I am an/a [undergraduate, postgraduate, doctoral] student at Unicaf University [insert the name of the University, e.g. Malawi / Zambia]. As part of my degree I am carrying out a study on [insert project / research topic and area]. I am writing to enquire whether you would be interested in/willing to [insert request for assistance, participation, permission to recruit etc.] in this research. Subject to approval by Unicaf Research Ethics Committee (UREC) this study will be using [mention the research activity / activities]. [Describe the project briefly and state its title and the name of your supervisor.] [Describe what would be required of the person, for example, sending an e-mail on your behalf, allowing you to recruit on their premises, giving you access to personal data after participants have consented, allow children to complete experiments during school hours etc. Include the estimated time for the engagement of this person.] Thank you in advance for your time and for your consideration of this project. Kindly please let me know if you require any further information or need any further clarifications.
- Text2:
- Text3:
- Text4:
- Text5:
- Text7:
- Text8:
- Student's Signature or Name:
UU_IC_Inform consent form.pdf
1
Informed Consent Form
Part 1: Debriefing of Participants
, ensure that all information stated above I, is true and that all conditions have been met.
Student’s Signature:
Student’s Name:
Student’s E-mail Address:
Student ID #:
Supervisor’s Name:
University Campus:
Program of Study:
Research Project Title:
Date: Provide a short description (purpose, aim and significance) of the research project, and explain why and how you have chosen this person to participate in this research (maximum 150 words).
The above named Student is committed in ensuring participant’s voluntarily participation in the research project and guaranteeing there are no potential risks and/or harms to the participants.
Participants have the right to withdraw at any stage (prior or post the completion) of the research without any consequences and without providing any explanation. In these cases, data collected will be deleted.
All data and information collected will be coded and will not be accessible to anyone outside this research. Data described and included in dissemination activities will only refer to coded information ensuring beyond the bounds of possibility participant identification.
UU_IC - Version 2.1
UU_IC - Version 2.1
2
Informed Consent Form
Part 2: Certificate of Consent
This section is mandatory and should to be signed by the participant(s)
Student’s Name:
Student’s E-mail Address:
Student ID #:
Supervisor’s Name:
University Campus:
Program of Study:
Research Project Title:
I have read the foregoing information about this study, or it has been read to me. I have had the opportunity to ask questions and discuss about it. I have received satisfactory answers to all my questions and I have received enough information about this study. I understand that I am free to withdraw from this study at any time without giving a reason for withdrawing and without negative consequences. I consent to the use of multimedia (e.g. audio recordings, video recordings) for the purposes of my participation to this study. I understand that my data will remain anonymous and confidential, unless stated otherwise. I consent voluntarily to be a participant in this study.
Participant’s Print name:
Participant’s Signature:
Date:
If the Participant is illiterate:
I have witnessed the accurate reading of the consent form to the potential participant, and the individual has had an opportunity to ask questions. I confirm that the aforementioned individual has given consent freely.
Witness’s Print name:
Witness’s Signature:
Date:
- Date5_af_date:
- Text6:
- Student's Name:
- Student's E-mail Address:
- Student's ID #:
- Supervisor's Name:
- Program of Study:
- 30 words:
- Participant’s Print name:
- Witness’s Print name:
- Date12_af_date:
- Date13_af_date:
- Partner University: [Choose from the list]
- Reset:
- Student's Signature:
- Participant's Signature:
- Witness' Signature: