IRB-001

6/2008

Proposal ID No.:_____________________________
(Assigned by IRB)

GWYNEDD-MERCY COLLEGE
Gwynedd Valley, Pennsylvania
Research Proposal Face Sheet

1. Principal Investigator:

Request for: X Expedited Review Full Review

Exemption
Faculty Advisor (if student proposal):

Stephanie Suggs

Rebecca Gullan, Ph.D.

Date submitted: __________________________

Name

Name

c/o Rebecca Gullan, CFC #224, GMC

Assistant Professor

Mailing Address

Title

215-646-7300, ext. 254

gullan.r@gmc.edu

Phone

e-mail

Suggs.s@gmc.edu
email

Institution: Gwynedd-Mercy College

2. Title of Research Proposal Information and Decision Making
3. Duration:

01 March 2013

31 May 2013

to

4. Location: Gwynedd-Mercy College

1325 Sumneytown Pike, Gwynedd Valley, PA 19437

Facility Name

Address

5. Other Institution(s) requiring review of this proposal :

__N/A___________________________

_________________________________________________

Name

Address

6. Type of Study: Quantitative Methodology - Survey

7. Sample Population: Gwynedd-Mercy College Students

Approximate no. of subjects: 75 Students

8. Safety Items: This research involves: N/A

use of human blood or blood products

exposure to bloodborne pathogens
electrical apparatus
administration of drugs

use of human tissues or body fluids other than blood

administration of ionizing radiation
investigational drugs or devices
experimental therapeutic techniques

9. Resources:
N/A
10. Signatures:
_________________________________________

___________________________________________

Principal Investigator

School Dean (if student or faculty proposal)

Date

_________________________________________
Faculty Advisor (if student proposal)

Date

Date

___________________________________________
Chair or Program Director

Date