GRIFFITH UNIVERSITY
HUMAN RESEARCH COURSE ADDENDUM

Course Title

		

		
		
School & Faculty

		

Course Convenor

Title

		
		
Family Name		

		
Given Names		

		
Qualifications		

		
		
Address for correspondence, contact details during business hours and email address		

		

A list of students to be covered by the Course clearance must be submitted each time the Course is offered, using the Course Protocol Report Form.

Maximum duration of data collection for individual student projects 
(Days)						

	

	Is this project student research			Y / N		

		
Please provide details of the program being undertaken (Max 50 words)	

	Is this project funded research			Y / N		

		
Please provide details of the funding arrangements/ application (Max 50 words)	

	
Office Use Only
UNIVERSITY HUMAN RESEARCH ETHICS COMMITTEE DETERMINATION

University Ethics Database Protocol Number

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Duration of Ethical Clearance

The proposal is approved through to the following date:

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Authorisation

Chair, University Human Research Ethics Committee:

Signature:	

	

	

1	Training

1.1	Research training and quality: In terms easily understood by the lay reader describe how the individual students will receive appropriate research training and how the merit of individual student projects will be confirmed. Do not exceed 500 words.	

		

		
1.2	Research ethics training and oversight: Outline how students will receive appropriate training in research ethics and how the ethical conduct of individual student projects will be monitored. Do not exceed 500 words.	

	

7	Applicant declarations

Project Title

		

		

We the undersigned confirm that all members of the research have read the current NHMRC National Statement on the Ethical Conduct of Research Involving Humans and the Griffith University Research Ethics Manual.  We accept responsibility for the ethical and appropriate conduct of the procedures detailed in this Checklist, confirm that we will conduct this project in accordance with the principles contained in the Statement, the GU Research Ethics Manual, and confirm that the research team will comply with any other condition laid down by the Griffith University Humanz Research Ethics Committee.

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	Signed								

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	Signed								

ADD ADDITIONAL BOXES AS REQUIRED FOR ADDITIONAL MEMBERS OF THE RESEARCH TEAM

Privacy Statement on Office for Research Forms

The Office for Research (Griffith University) will on occasion collect, store and use personal information only for the purposes of conducting the business of those committees administered and supported by the Office of Research, administering grant applications, administering the human research ethics and animal ethics arrangements, and keeping research teams and other interested parties informed. The information collected is confidential and will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements, including the requirements of granting bodies you nominate.  For further information consult the University’s Privacy Plan at https://www.griffith.edu.au/about-griffith/corporate-governance/plans-publications/griffith-university-privacy-plan or telephone (07) 3735 4375.

18	Authorising officer declaration

This authorisation is to be completed by the Centre Director or Head of School of the University element where the research is to be based (e.g., the “home” school of the senior investigator).  Where the appropriate authorising officer is also a member of the research team this authorisation should be completed by the relevant Dean or Pro-Vice-Chancellor.

	
Project Title

		

		

I have considered this application and the ethical implications of the proposed research and recommend it for consideration by the HREC.  I confirm that the qualifications and experience of all investigators are appropriate to the study to be undertaken, and the necessary resources are available to enable this research to be conducted.

Scientific merit

STEP ONE

The research / scientific merit of this project has been considered (please tick one statement):

By another GU or external process (RAPS for PhD projects, peer review for research grants, etc)				

By the authorising officer				

Is yet to be considered.				

STEP TWO

Is there a need for additional review of the scientific merit of the research? (Please tick if required)

I believe that this project requires an expert / external research / scientific merit review				

Research safety

STEP ONE

The research safety of this project (please tick one statement):

Does not warrant consideration.				

Has been considered by a University workplace health and safety process				

Has been considered by the authorising officer				

Is yet to be considered.				

STEP TWO

Is there a need for additional review of the research safety of the research? (Please tick if required)

I believe that this project requires an expert / external review of the research safety of the project				

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	Signed								
									
	Print Name								
									
	Position