Save Natural Environment

Topics: Risk assessment, Informed consent, Risk Pages: 20 (4911 words) Published: August 26, 2013
This completed form is required for ALL projects.
To be completed by the Adult Sponsor in collaboration with the student researcher(s): Student’s Name(s): Project Title: 1) o I have reviewed the Intel ISEF Rules and Guidelines. 2) o I have reviewed the student’s completed Student Checklist (1A) and Research Plan. 3) o I have worked with the student and we have discussed the possible risks involved in the project. 4) o The project involves one or more of the following and requires prior approval by an SRC, IRB, IACUC or IBC: o Humans Potentially Hazardous Biological Agents o Vertebrate Animals o Microorganisms o rDNA o Tissues 5) o Items to be completed for ALL PROJECTS o Adult Sponsor Checklist (1) o Student Checklist (1A)

Checklist for Adult Sponsor (1)

o Research Plan o Approval Form (1B)

o o

Regulated Research Institutional/Industrial Setting Form (1C) (when applicable after completed experiment) Continuation/Research Progression Form (7) (when applicable)

6) Additional forms required if the project includes the use of one or more of the following (check all that apply): o Humans (Requires prior approval by an Institutional Review Board (IRB); see full text of the rules.) o Human Participants Form (4) or appropriate Institutional IRB documentation o Sample of Informed Consent Form (when applicable and/or required by the IRB) o QualifiedScientistForm(2)(whenapplicableand/orrequiredbytheIRB) o Vertebrate Animals (Requires prior approval, see full text of the rules.) o VertebrateAnimalForm(5A)—forprojectsconductedinaschool/home/fieldresearchsite(SRCprior approval required.) o Vertebrate Animal Form (5B)—for projects conducted at a Regulated Research Institution. (Institutional Animal Care and Use Committee (IACUC) approval required prior experimentation.) o QualifiedScientistForm(2)(Requiredforallvertebrateanimalprojectsataregulatedresearchsiteor when applicable) o Potentially Hazardous Biological Agents (Requires prior approval by SRC, IACUC or Institutional Biosafety Committee (IBC), see full text of the rules.) o Potentially Hazardous Biological Agents Risk Assessment Form (6A) o Human and Vertebrate Animal Tissue Form (6B)—to be completed in addition to Form 6A when project involvestheuseoffreshorfrozentissue,primarycellcultures,blood,bloodproductsandbodyfluids. o QualifiedScientistForm(2)(whenapplicable) o Risk Assessment Form (3) required for projects involving protists, archae and similar microorganisms, for projects using manure for composting, fuel production or other non-culturing experiments, for projects using color change coliform water test kits, microbial fuel cells, and for projects involving decomposing vertebrate organisms o Hazardous Chemicals, Activities and Devices (No prior approval required, see full text of the rules.) o Risk Assessment Form (3) o QualifiedScientistForm(2)(requiredforprojectsinvolvingDEA-controlledsubstancesorwhen applicable)

Adult Sponsor’s Printed Name

Signature

Date of Review

Phone

Email
Page 31

International Rules: Guidelines for Science and Engineering Fairs 2013–2014, www.societyforscience.org/isef

This form is required for ALL projects.

Student Checklist (1A)

1) a. Student/Team Leader: Email: b. Team Member: 2) Title of Project:

Grade: Phone: c. Team Member:

3) School: School Address:

School Phone:

4) Adult Sponsor:

Phone/Email:

5) Is this a continuation/progression from a previous year? o Yes o No If Yes: a) Attach the previous year’s o Abstract and o Research Plan b) Explain how this project is new and different from previous years on o Continuation/Research Progression Form (7) 6) This year’s laboratory experiment/data collection: (must be stated (mm/dd/yy))

Start Date: (mm/dd/yy)

End Date: (mm/dd/yy)

7) Where will you conduct your experimentation? (check all that apply)

o Research Institution

o School

o Field

o Home...
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