As we continue to unfold the mysteries of conducting reliable and factual study,
keep in mind your topic or research interest in the previous lesson. Give only available
information on the steps to take in fulfilling your research endeavor. Based on your
understanding about ethics in research, please complete this form.
Date of Application:
Research Team Leader.
Members:
Research Title:
Research Goals: Write down your research question, rationale,
significance, plan to do with your findings, and questions ask participants.
Place, Date/ Time and Duration of Study:
Data Collection Methods and Study Participants:
Data Collection Method
Recruitment of participants / Sampling Procedure:
Informed consent: list ways to ensure respondent participation is safe
Confidentiality agreement: list ways to ensure confidentiality, privacy, and
safety of participants and data collected
Risk Assessment: list means of ensuring safety in materials, instruments,
area, and substances used.
Signature of Team Members:
