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1 Requirements and Checklist

This document outlines the requirements and checklist for submitting a research protocol for ethics review by the Colegio de la Purisima Concepcion Ethics Review Committee. It lists the basic documents required, including a letter of request, completed forms, the research protocol and consent forms. Study-specific documents may also be needed such as intervention protocols or assent forms. The document provides formatting guidelines and requires three printed and one electronic copy of documents as well as proof of payment of review fees ranging from PHP 2,000 for student or faculty research protocols.

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ARGELINE JOY AMORES
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24 views2 pages

1 Requirements and Checklist

This document outlines the requirements and checklist for submitting a research protocol for ethics review by the Colegio de la Purisima Concepcion Ethics Review Committee. It lists the basic documents required, including a letter of request, completed forms, the research protocol and consent forms. Study-specific documents may also be needed such as intervention protocols or assent forms. The document provides formatting guidelines and requires three printed and one electronic copy of documents as well as proof of payment of review fees ranging from PHP 2,000 for student or faculty research protocols.

Uploaded by

ARGELINE JOY AMORES
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ERC Form 01: Requirements and Checklist Form

26 September 2022 Version 1

Colegio de la Purisima Concepcion


The School of the Archdiocese of Capiz, Roxas City
Roxas City 5800, Philippines
Tel. (036) 6215-331
ETHICS REVIEW COMMITTEE

REQUIREMENTS AND CHECKLIST

PROTOCOL INFORMATION

Research (Working) Title:

Researcher(s):

Contact No: Email Address:

Affiliation:

Adviser:

Co-Adviser:

To be accomplished by SGS/CRESA personnel


Date of Submission:
(Accomplished by ERC
Personnel)
Verified Complete:
(Accomplished by ERC
Personnel)

Review Classification:
o Full Committee Review o Exempted Review
(Accomplished by CPC-ERC)
Classified on:
Classified By:
(DD Month
(Accomplished by CPC-ERC)
YYYY)

BASIC DOCUMENTS

o Letter of Request addressed to the Dean of the School of Graduate Studies Three (3) Printed Copies

o CPC-ERC Form 01: Requirements and Checklist Three (3) Printed Copies

o CPC-ERC Form 02: Registration and Application Form Three (3) Printed Copies

CPC-ERC Form 03: Research Protocol and Informed Consent Assessment Form
o OR Three (3) Printed Copies
CPC-ERC Form 04: Review Exemption Form
Research Protocol (with appendices/annexes, version number, & version date)
o • Paper Size: Letter (8.5” by 11”) Three (3) Printed Copies
• Font Type: Century Gothic

Page 1 of 2 Center for Research and Statistical Analysis


ERC Form 01: Requirements and Checklist Form
26 September 2022 Version 1

• Font Size: Size 12

o Data Collection Forms (as appended) Three (3) Printed Copies

o Informed Consent Forms in English and/or Filipino (as appended) Three (3) Printed Copies

o Curriculum Vitae of the Researcher (as appended) Three (3) Printed Copies

Technical Review Certification and/or Endorsement


o Three (3) Printed Copies
(attached as preliminary page in protocol)
Electronic copies (in PDF file) of the following documents:
(a) research protocol and accompanying appendices
o (b) CPC-ERC Form 01 Submitted in one (1) CD
(c) CPC-ERC Form 02
(d) CPC-ERC Form 03
o Photocopy of Official Receipt for ethics review fee (see review fee below) One (1) Photocopy

STUDY-SPECIFIC DOCUMENTS
Research intervention/experiment and intervention protocol
o Three (3) Printed Copies
(for experimental or interventional studies)
Assent Forms in English (for studies involving minors and relevant populations
o Three (3) Printed Copies
deemed incompetent to sign an informed consent form; appended in protocol)
Assent Forms in Filipino (for studies involving minors and relevant populations
o Three (3) Printed Copies
deemed incompetent to sign an informed consent form; appended in protocol)
Previous ethical review approvals or clearances (for those with prior ethical
o Three (3) Printed Copies
review)
CPC Ethics Review Committee Payment Fee

o Undergraduate Student Researches PHP 2,000.00


o Post-Graduate Student Researches (MA or PhD ) PHP 2,000.00
o Faculty-Initiated Researches PHP 2,000.00

Page 2 of 2 Center for Research and Statistical Analysis

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