Institutional Review Board

Application Forms

Protocol Revision or Amendment Form

Please choose from one of the following formats:

Download the form to MS Word
Download the form in PDF format (you will need Adobe Reader to view the form)

Please note that the MS Word form can be filled out in Word, saved, and then sent via an e-mail attachment to the ORC. A signed copy of the form will always be required as well, however.

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If you are encountering difficulties downloading files, or if the files are becoming corrupted during the transfer, try right-clicking on the download link (or CTRL-click if on a Mac) and save the file (link) to your computer.

2009 IRB Meeting Schedule Nov. 17, 2009 10:00 AM to 2:00 PM Ice Arena Alumni Room Gorham Campus Dec. 9, 2009 1:00 PM to 3:00 PM 423/424 Glickman Portland Campus
		Important! Submissions for IRB review must be received 30 days prior to the next Board meeting, be complete, and in no need of major revisions. If it does not meet these requirements, then it will be reviewed at the next available opportunity. Quick Links CITI Training Module CITI FAQ Investigator Guidelines IRB Classroom Presentation General Information Definitions Application Forms Sample Forms USM IRB Application Checklist Submission Types & Timelines Student Handbook on Human Subject Research Student Classroom Policies and Procedures USM Policy & Procedure for Human Subject Research IRB Administration IRB Members Frequently Asked Questions Contact IRB Useful Links Educational Materials IRB Home ORC Home ORC Privacy Statement

University of Southern Maine

Institutional Review Board

Application Forms

Protocol Revision or Amendment Form

Download Problems?

2009 IRB