Educational Research Form
[SME to complete this section prior to the meeting. iEXCEL staff will complete missing data during meeting.]
Title
Aims:
IRB#
IRB Status
Approved
Under Review
Review Needed
Not Submitted
No IRB Needed
iEXCEL Staff Liason: If Known
Personnel
Site
DGC
Sorrell
UNMC
NM
UNO
UNL
UNK
SIM-NE
Community
Funding secured
Yes
No
Funding Agency
NIH
NSF
DoD
Internal
Private
Other
Plan to apply for funding
Yes
No
Type of Research (?)
Descriptive
Associational
Intervention
Pilot
Experimental
Review
Program evaluation
Product development
Format Data Collection
Audio
Visual
Electronic
Hard Copy
Research Method
Qualitative
Quantitative
Mixed Methods
N/A (if reviews)
[iEXCEL staff to complete this section during meeting with SME]
Performance-based domain(s) addressed:
Study Groups
Inclusion Criteria
Exclusion Criteria
Data Collection Parameters/Variables/Outcomes
Submit
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