UME Research Request

Name (and role) of individual requesting approval:

Classify your project:

Research

QI\QA

Program Evaluation

Start Date for Recruitment

Title of project:

End Date for Recruitment

Project funding source:

Brief overview of the project:

* List of (co-) authors and its CRediT author contributions: Please click on the links here for more information on defining the role of authors and contributions, and the CRediT definitions.

Defining the Role of Authors and Contributors

https://www.icmje.org/recommendations/browse/roles-and-responsibilities/defining-the-role-of-authors-and-contributors.html

CRediT definitions

https://www.elsevier.com/researcher/author/policies-and-guidelines/credit-author-statement

Full names of all (co-)authors:

Method of Recruitment

Please note that we strongly encourage non-email-based recruitment of our students and strongly encourage recruitment through our student portal.

Student years involved:

Year One

Year Two

Year Three

If you wish to have recruitment information posted on the student portal, please submit the recruitment description, recruitment start and end date. If you have a recruitment poster, please upload it here.

Choose file

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, mp3.

Principle investigator (including division/department):

Estimated time required for participating students:

Email of requesting individual:

Please list expected risks to student participants:

Description for how you will mitigate risks:

Please briefly describe how/if this project benefits the undergraduate education program at the Cumming School of Medicine:

Description of any compensation offered to student participants:

Plan for publication/dissemination of the project:

Is any identifying student information being collected? If so please describe:

Please check the following to ensure the following. I guarantee that:

All student participation will be outside of mandatory class time

Wherever possible, students will be recruited without directly emailing their ucalgary accounts

Documentation will clearly state that this project is not endorsed in any way by the UME

Please attach your project proposal

Choose file

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, mp3.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.