| Document Date: 2014-11-19 11:36:57
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Company Northern Kentucky University Institutional Review / / Country United States / / / Facility Campus Level Review / campus of Northern / University Institutional Review Board / Campus Address / NKU campus / Campus Phone / Campus Phone Campus Address / / IndustryTerm telephone list/phone / phone Web-based announcements Direct Verbal Solicitation / online website / web-based studies / imaging / law violations / web-based announcements / / MedicalCondition sickness / pain / depression / bodily injury / / Organization NKU Faculty / Human Subjects office of Research / Grants & Contracts Attn / NKU Institutional Review Board / Northern Kentucky University / / Person Philip J. Moberg / / / Position 057467400Principal Investigator / Teacher / Advisor / researcher 0429260Principal Investigator / researcher and advisor / Signature Date Faculty Advisor / PRINCIPAL INVESTIGATOR / IRB Administrator / IRB Chair / e.g. teacher / Researcher FACULTY ADVISOR / Researcher / Chair / authorized representative / 00Principal Investigator / representative / faculty advisor / / Region Northern Kentucky / / Technology Digital Video / /
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[removed]24765For IRB Committee Use Only IRB # _____________________________ Date Received ______________________ Date Posted ________________________ Alternate institution IRB # _____________ 400000For IRB Committee Use