Download Health & Biological/Medical Application Form

All forms are in Microsoft Word Format.

IRB Health & Biological/Medical Application Form version 4.6
updated: July, 2007

• This form must not be handwritten.

• Fill out all of the questions on this form completely (If there are questions about using the text form fields or checkboxes with this form, please contact the RSPP office 612-626-5654 or irb@umn.edu).

• Make sure to include the e-mail address and UMN employee/student ID numbers of the PI, Co-investigators and all other personnel.

• Fill out and attach the appropriate appendices required by responses in this application.

• Attach supporting documentation: consent form(s), assent form(s), protocol, survey instruments, interview schedules, solicitation letters, advertisements, letters of permission, etc.

• Complete the checklist that accompanies this form to assure all requirements for submission are completed so that review is not delayed.

• Submit this application and appendices along with the supporting documentation to the Research Subjects’ Protection Programs Office (RSPP).

Download Instructions:

1. Right-click on the links above and select "Save Target as..." or "Save Link Target as..."
2. A dialog box will appear and you will be prompted to save the file to your computer. Choose a location to save the file.
3. Open the file from your computer using Microsoft Word or another compatible word processing program and complete the application form.

Need help with the application process? see Applying for review

Submission Instructions

If applying for Full Committee Review, submit:

1. The original application form and appendices, consent and assent forms;
2. 12 copies of these forms;
3. 1 copy of the protocol and all other materials.

Or, if requesting expedited review, submit:

1. The original application form and appendices, consent and assent forms;
2. 1 copy of these forms.

Mail or deliver to:
Research Subjects’ Protection Programs
MMC 820
420 Delaware St. SE
Minneapolis, MN 55455-0392

Or on campus:
Research Subjects’ Protection Programs
MMC 820
Minneapolis Campus