IRB form

Date: Month ##, 201#

Name of Proposer: Your Name

Email: Your Email

Phone: Your phone number

Fax: Your FAX number

Unit Representative:

Email:

Phone:

Fax: NONE

1. Title of Project: Interviews of Subject Matter Experts (SME), Name Intreviewed and Name Interviewee.

2. Purpose of the Project: To obtain information regarding the needs of the Make a Wish Foundation in order to write a grant proposal for the Giving Back Fund.

3. Survey Instruments or Data Collection Methodology:

A. Interview, focus group, questionnaire, or other? Interview of SMEs

B. Online, regular mail, face-to-face, or other? Online chat or e-mail

C. Please attach a copy of each instrument. See the following attachments:

Appendix B Invitation

Appendix C Interview 1 Questions

Appendix D Interview 2 Questions

4. Research Design including population and sample, if applicable.

A. UMUC Students, Staff, Faculty, or other? Other: Jessica Duffaut-Director of Donor Services from the Giving Back Fund, and Marc Pollick, founder of the Giving Back Fund.

B. Sample Size – N/A because this is an interview research project.

C. What information will be collected (e.g. any potentially sensitive subjects such as drug use, etc)? – Potentially sensitive topics will not be collected; no personal information will be collected.

D. What data other than the respondents' answers will be sought (e.g. via access to UMUC records)? None.

E. How will the privacy and confidentiality of the human subjects be recorded and stored? All interview notes will be stored on my computer to which no one else has access. I will not use an electronic recorder of any type; I will take notes by hand or via email. The collected information will be used in my Senior Researched Project and submitted to Professor Rodgers for the purpose of this UMUC course.

F. How will the analysis protect the respondent's right to privacy (e.g., if less than five people are in a table cell, how will their identity remain anonymous)? The information gathered will be used to support my Senior Project Option 1 Grant Proposal.

5. Signature Approvals

Proposer Verification

__X___I have read and understand the UMUC Policy 130.25 and the procedures for completing the Research Project Notification and Human Subjects Protection Form. I have completed the Research Project Notification and Human Subjects Protection Form fully and accurately. I agree to comply with UMUC Policy 130.25.

Student Name, Month ##, 201#

Instructor Approval

______I have determined that the proposed research involves minimal risk, is limited to two SME interviews, and is approved.

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Appendix B: Invitation

Dear Ms. Duffaut/Mr. Pollick:

I am conducting research on the needs of the Giving Back Fund in order to complete a grant proposal and would appreciate interviewing you. I need this information for my Communication Studies Capstone Class senior project. My senior project is to write a grant proposal on behalf of Make-a-Wish Foundation to a grant funding agency. I am in the process of looking for organizations that have grants available. Conducting original research as part of this project is required for my project. The most effective research I could do is to interview you.

Our interview should take about 10-15 minutes.

I will not be using your name in the grant proposal. I will supply a pseudonym for you.

OR

I will need your signature on the sheet of questions to use your name in my grant proposal.

I foresee no possible harm that could come to you as a result of participating in this interview.

I can offer no compensation other than the good feelings of helping a college student understand how non-profit organizations obtain funding for their worthy projects.

Please respond via email to let me know whether you will participate in an interview and when is the best time, date, and method for you. I can conduct interviews in person, by online chat (Skype or Google Talk), by telephone, or by email. The working time frame is Sunday, Month ## through Thursday, Month ##. For a synchronous chat or telephone call, I can be available between 11 AM to 7:30 PM on that Sunday or 4:30 – 8:30 PM on the weekdays.

Please let me know if you have any questions.

Thank you in advance,

My Name

My Email

My telephone

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Appendix C: Interview Questions Ms. Duffaut

Voluntary Participation Notice

Participants need to know that their voluntary efforts are appreciated, and that they may decline to participate in whole or in part for any reason or no reason at any time. They may terminate the interview without any negative consequences to themselves or the interviewer. If they are promised anything for their participation, they should receive that even if they cancel their interview.

NOTE: If the interview is for a feature story, include the name of the publication to which the story will be submitted.

Please sign the bottom of this list of questions if you agree that I may use your name and title in my project. If you prefer a pseudonym be used, please indicate that with your signature.

What is your current title?

How long have you been working for the Giving Back Fund?

What are your responsibilities?

Can you tell me about the daily needs of your organization?

Monthly needs?

Annual needs?

How is social media benefitting the Giving Back Fund?

Who are your current corporate sponsors?

How are the grants awarded by the Giving Back Fund supported?

What is the most important fact you want your recipient to know about your organization?

How will the Giving Back Fund select the recipient of this grant?

Appendix D: Interview Questions-Mr. Pollick

Voluntary Participation Notice

Participants need to know that their voluntary efforts are appreciated, and that they may decline to participate in whole or in part for any reason or no reason at any time. They may terminate the interview without any negative consequences to themselves or the interviewer. If they are promised anything for their participation, they should receive that even if they cancel their interview.

NOTE: If the interview is for a feature story, include the name of the publication to which the story will be submitted.

Please sign the bottom of this list of questions if you agree that I may use your name and title in my project. If you prefer a pseudonym be used, please indicate that with your signature.

· You have the right to stop the interview at any time for any reason with no negative consequences.