The University of Tennessee / University of Tennessee / Hall-Moody Administration Building / /
Organization
IRB Departmental Review Committee / Martin Institutional Review Board for the Protection of Human Subjects / Academic Department / Compliance Office / Institutional Review Board / IRB Committee / University of Tennessee / Sponsoring Agency / Date Faculty / office of Research / Grants / and Contracts / /
Person
Letter / /
Position
faulty advisor / Chair / advisor / Principal Investigator / Director / faculty advisor / Printed Name Signature Date Co-Principal Investigator / Co-Investigator / /
Application to The University of Tennessee at Martin Institutional Review Board for the Protection of Human Subjects in Research Please provide responses for all items in the form, attaching additional sheets as needed.