Community Correction Two Union National Plaza Building / / /
IndustryTerm
appropriate computerized data gathering systems / federal law / /
Organization
DEPARTMENT OF COMMUNITY CORRECTION CENTER EMPLOYEES FROM / Institutional Review Board / federal government / Arkansas Department of Community Correction Two Union National Plaza Building / Arkansas Department of Community Correction INFORMED CONSENT TO PARTICIPATE IN RESEARCH Title / Arkansas Department of Community Correction REQUEST TO CONDUCT RESEARCH Department of Community Correction Attn / DCC AD / /
Person
SHEILA SHARP / Correction / / /
Position
physician / Requestor Title Agency Name Researcher / Director/Deputy/Assistant Director Date / researcher / Director/Deputy/ Assistant Director / Representative / Chief Deputy / Assistant Director / Deputy Director / Director / Requestor Date Requestor Printed Name Researcher / DIRECTOR SUPERSEDES / Deputy Director Two Union National Plaza Building / Representative Signature / Information Technology Administrator / /
Arkansas Department of Community Correction Two Union National Plaza Building 105 West Capitol, 2nd Floor Little Rock, Arkansas[removed][removed]Fax: ([removed]