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The purpose of this form is to determine if HSRB review of your research/project is required.
Instructions for Investigators:
Complete this form in its entirety and submit via www.IRBNet.org.
The HSRB will determine whether your research/project is in need of additional HSRB review and will
notify you of the determination.
Do NOT begin data collection prior to receiving the HSRB determination.
1. Principal Investigator Information:
Name: Nina Frost
Email: frostnina9@gmail.com
Date: 6/9/16
Campus Phone:
Advisor (if applicable):
2. Are the data being obtained about or from living persons, directly or indirectly (as through
observation)?
Yes
No
3. Are the data collected through intervention and/or interaction (e.g., blood draw, interview,
questionnaire, etc.) with persons?
Yes
No
4. Does the data contain identifiably private (i.e., not public) information?
Yes
No
5. Is the study a systematic investigation (see definition below), including research development,
testing and evaluation, designed to develop or contribute to generalizable knowledge (see definition
below)?
Yes
No
6. Include a brief summary (purpose, benefit/intent, and methods/procedures) of your project in the
space provided below.
The project purpose is to try to determine the affects of different testing modes in my own 7th grade science
classroom during the course of one summative unit assessment. The main goal for this research project is to
evaluate my own teaching and improve the use of technology in my classroom from the results obtained.
Human Subjects Review Board (as of October, 2012)
Form based on Kent State University IRB Determination Form.
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Additionally, my students were not asked to do anything different than they would in normal class. The data used
was data that I already had from my 7th grade students in my science class in which half were tested online and
half on paper after one unit of online instruction (Schoology). No consent forms are needed since this is action
research for which the purpose is to evaluate my own teaching practices. I do not believe this needs HSRB review
because the main purpose was to improve my personal teaching practices and the students were not asked to do
anything that they would not normally do in my classroom .
Investigator Responsibilities and Assurances
By electronically signing this application package in IRBNet:
I certify that the information provided in the application is complete
Yes
No
I have ultimate responsibility for the protection of the rights and welfare of human participants, the conduct of
this project, and the ethical performance of the individuals conducting this project.
Yes
No
I certify that the proposed project/research has not yet been done, is not currently underway, and will not
begin until BGSU HSRB determination/approval has been obtained.
Yes
No
Definitions
SystematicInvestigationisaplanned,stepbystepmethodforobtaininginformation.Typicallyitis
repeatedwithmultipleparticipantsinaconstantmanner,butcanbeusedwithasingleparticipant.
Generalizedknowledgeisdataand/orconclusionsthatareapplicabletootherpeopleorplaces.
ExamplesofactivitiesthattypicallyareNOTgeneralizableare:
Courseevaluations,unlesstheresultswillbegeneralizedtootherinstitutions.
Classprojectsusedtotrainstudentsinresearchmethodsorwheretheresultswillonlybeshared
withinthecourse.
Oralhistoriesthataredesignedsolelytocreatearecordofhistoricalevents.
ServiceswherethereisnointentiontosharetheresultsbeyondBGSUoranyagencysupporting
thework.
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