Académique Documents
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Date Recd:
___________
Institutional Review Board for Protection of Human Subjects
IRB Study #:
___________
Category:
___________
DIRECTIONS: Complete items on this application according to instructions and definitions
found in the corresponding instruction manual. All applications must be submitted via email
with signatures to IRB@ferris.edu. All investigator signatures must be included; typed
signatures are NOT acceptable.
All Investigators must have completed the appropriate CITI training modules. Attach your CITI
training certificate with your application.
PROJECT TITLE: Assessment of full-time faculty holistic advising vs. part-time faculty
holistic advising.
I. INVESTIGATOR INFORMATION
Principal Investigator/
Sandy Balkema, PhD
Project Faculty Advisor
Department & College
Dissertation Director DCCL Program; faculty, dept of Lang
& Lit, CAS
E-mail address
balkemas@ferris.edu
Telephone number
231-591-5631
Co-Investigator
Department & College
E-mail address
Telephone number
Student Researcher
Department & College
E-mail address
Telephone number
Check if this is:
Troy Boquette
DCCL Program
Troy.boquette@mcc.edu
989-598-2463
___ Masters Thesis __x_ Ed.D. or Ph.D. dissertation
Student Researcher
Department & College
E-mail address
Telephone number
Check if this is:
II. FUNDING
1. No Funding ______X_________________________________________
2. University Department or College: _______________________________
Fund (Deans Grant, Faculty Research Committee stipend, etc.) _______
3. External Agency or Fund (Specify) ________________________________
4. FSU Contracts and Grants app. # ______________________ if applicable
For funded research, a copy of the Grant Award (minus the budgetary information)
must be included. If the Grant has not been awarded at the time of IRB submission, a
statement must be added to the Abstract Section stating that an Addendum will be
submitted once the Grant has been awarded.
III. LEVEL OF REVIEW
Determination of review is made by the IRB. Investigators are encouraged to select a review
category.
1. Exempt: Please refer to the application instructions for additional information on
Exempt research.
_X_ My investigation is research in a Commonly Accepted Educational Setting. (1A)
__ My research uses an Anonymous Educational Test, Survey, or Interview. (1B or 1C)
__ My research collects data by Observation of Public Behavior without electronic
recording. (1D)
__ My research uses publicly available data and individuals will not be identified (1E) or
_X_ My research uses existing non-public data, records, or documents, individuals will not be
identified, and I have obtained permission from the following individual(s) or agency to
access the data: _Mott Community College._____. (1E)
__ My research is conducted by the approval of the Department of Health & Human Services
or is a taste & good quality food evaluation. (1F or 1G)
__ My research consists entirely of the components checked above.
2. Expedited Review: Specify category or categories: _______ __X__ (2A through 2I)
Please refer to the application instructions for additional information about the Expedited
Category.
3. Full Committee Review:
___ This proposal is submitted for FULL committee review.
4. Proposed start date for project: ___October 1st 2014_______________________
Please Note: You may not begin data collection without IRB approval.
The IRB meets once each month during the regular academic year. Limited reviews may be
expected between semesters, during final examination periods and university closures.
Researchers should submit a completed application to the IRB at least one month prior to
when they wish to collect data.
5. Has this proposal been reviewed or approved by any IRB at another institution?
____ No
university)
__X__ Yes (include one copy of IRB approval from that agency or
4. Subject Recruitment:
__X__ I will be using recruitment materials for my study and have attached copies
of these materials with this application (including script for verbal invitations, e-mail
invitations, flyers, advertisements, letters or other recruitment documentation).
SEE APPENDIX A.
____ I, the researcher, will not be recruiting subjects to participate in this study.
The research involves archival data from medical records.
The research involves archival data from school or educational records.
3. Benefits:
Describe any direct benefits to subjects, specifying direct and indirect benefits.
While there may be minimal benefit to the participants, their participation will identify
strengths and weaknesses in the advising system. This could help improve the
advising model in which they may benefit in the future.
Describe any benefits to the discipline/profession.
Since the full-time faculty model has been implemented at Mott Community College
there has been no research in its effectiveness or ineffectiveness. Community
Colleges and universities across the nation could benefit by seeing the results of this
comparison.
Describe any benefits to the community.
The entire MCC community can benefit from this study by seeing the results of the
research. Students may be better prepared by the holistic effectiveness or less
prepared by the ineffectiveness of this model. The broader community may benefit if
students are better prepared in terms of financial planning, career exploration,
accurate course registration, and life skills preparation.
4. Risks:
__X__ This research does NOT constitute risk to subjects beyond the minimal level.
____ This research constitutes risk that is beyond the minimal level.
Describe the risks, explain why you feel they exceed the minimal level and why
you believe the level of risk is warranted.
5. Protection of subjects' privacy: (Describe procedures for coding subjects identity;
secure storage of data including electronic questionnaires and e-mail, and other precautions
to ensure confidentiality or anonymity.)
To protect the subjects privacy, both the data and participant names will be kept confidential. By
using the Survey Monkey instrument, all links between the data and the individual respondents can be
easily obscured by recording procedures. For this study, only the aggregate data will be analyzed.
The original data files that contain the links between subjects and their individual responses will be
stored on a separate data flash drive and kept separate from all research information, stored in a
locked cabinet in the researchers home office. All of the raw materials related to this study will be
destroyed one year after the dissertation defense, following accepted practices for their secure
destruction.
_X___I certify that use of educational records complies with the Family Educational
Rights and Privacy Act (FERPA), if applicable.
____ I certify that use of medical records complies with the Health Insurance
Portability and Accountability Act (HIPAA), if applicable.
Dear Student,
As you may know, Mott Community College recently made changes to the advising model
that we have traditionally employed at the college. You are receiving this email because you
recently visited the Academic Advising area at the college for services.
You are invited to complete a brief survey (4 questions) about your advising experience. Your
comments will help us to improve our services to you.
IF YOU COMPLETE THE SURVEY, YOU COULD WIN A $50.00 GIFT CARD TO THE
BOOKSTORE OR AMAZON.COM. At the conclusion of the survey, enter your email address
to be entered in the drawing.
Click on this link to begin the survey now: [URL here]
Thank you again for your assistance,
Troy Boquette
Executive Dean of Student Services
Mott Community College
2. Please rate your satisfaction with the information you received about each of the following
(scale of 1-to-5, w/ NA option: Very Satisfied, Satisfied, Neutral, Dissatisfied, Extremely
Dissatisfied, Did not Discuss)
3. On a scale of 1 to 5, please rate your agreement with the following statements (Strongly
Agree, Agree, Neutral, Disagree, Strongly Disagree)
4. If you have additional comments about the advising session, please feel free to add them
in the comment box below.
TEXT BOX here for responses
APPENDIX C Informed Consent Statement. This statement will be on the front page of the
online survey.
Thank you for agreeing to participate in this research study.
This survey is being conducted to gather information regarding the effectiveness of the
Academic Advisor/Student Success Specialist/Academic Success Specialist that you recently
visited.
By clicking Next, you are providing your consent to participate in a research project
conducted by Troy Boquette, Executive Dean of Student Services at Mott Community
College, for his doctoral research at Ferris State University and to improve services at MCC.
Please read the following statements before continuing:
I understand that my participation in this survey is voluntary. I may withdraw and
discontinue participation at any time.
I understand that I have ten (10) calendar days to complete this survey.
I understand that my responses are anonymous, that my name will not be connected
to any of the information, and that my confidentiality as a participant in this study will
remain secure.
I understand that faculty and administrators at MCC will not be informed of the
individual answers that I give on the survey nor will they have access to my
information regarding the survey.
I understand that this research study has been reviewed and approved by the
Institutional Review Board (IRB) at Ferris State University and Mott Community
College.
I understand that if I choose to add my email address to this survey that I will be
entered in the drawing for the $50 gift card to the bookstore or
Amazon.com.
I understand that if I am under the age of 18 years old, I must not participate in this
survey.
I have read and understand my rights regarding my involvement in this survey.