The Modification and Extension Form should be submitted for any approved research which will continue after it's approved end date, or if there are any changes to the approved protocol.
The sample forms should be modified for the specific research being conducted.
- Modification and Extension Form [DOCX]
- Sample Informed Consent Form [PDF]
- Sample Parental Consent Form [PDF]
- Sample Child Assent Form [PDF]
- Sample Disclosure Statement [PDF]
Please ensure the IRB's contact information is available on all consent forms and disclosure statements:
Institutional Review Board
Sponsored Programs and Research Administration
Administration Building, Room 202
Salem State University
Salem, MA 01970