Hunter College Faculty Classroom Practica Form

Hunter College Faculty Classroom Practica Form

Courses in research methods or class assignments that involve research with Human Subjects should be submitted for review by the HRPP/IRB. This form is to be used for classroom exercises in which students will be engaged in the process of learning research techniques ONLY.

Research Practica are designed to give students an opportunity to practice various research methods such as interviews, observations, survey techniques , measurements of behavior (e.g, reaction time, speech, problem solving) as well as data analysis. While the class exercise may not fit the standard definition of research in the sense that the results are not intended for publication or for generalization to other situations, the potential for risks to subjects who participate in research class exercises requires that the protocol be registered.

All doctoral dissertation, masters theses and CUNY Honors research projects cannot be registered via this format. These submissions should be submitted via IDEATE.

**Reminder: Submission window will close 4 weeks after the start of the semester**

Please complete all sections below.
Name * First Last
Institutional Email Address (CUNY) *
Department *
Do you have a Teaching Assistant? *
Yes No If yes, please enter name
If you have a TA - please ensure their HSR CITI certificate is attached below.
Course Title *
Course Number *
Course Section *
Semester *
Spring Summer Fall Winter
Course Year *
Total # of students enrolled *
AS A FACULTY MEMBER, I CERTIFY TO THE FOLLOWING (Please ensure all items are certified): *
The data from these projects WILL NOT be used for presentation at conferences, publications or doctoral dissertations without futher IRB review; This form is being filed PRIOR to the commencement of the classroom activities; No identifying data will be collected (no names, social security numbers or other codes that can be identified or linked to subjects). The projects will not use or disclose health related information; No student research practica under my supervision will collect information regarding illegal activities; information that could cause emotional distress to subjects; information which would place the student at risk; conduct research which would put the subject at risk if confidentiality were breached; It is my responsibility to ensure that research practica are conducted according to ethical standards (Ethical Standards/Belmont Report can be found here: https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html); I will ensure that all students have completed their CUNY HSR Social and Behavioral CITI training; I will ensure that ALL registered students have completed the Classroom Practica Student Certification Form; In the event that any of the student projects do not meet the above criteria, (e.g. collection of data for research purposes), I will forward the materials for IRB review and approval before the study can commence.
Please attach Student Roster and include students' CITI expiration dates *

Attach Files
If any of your students have dropped the course, please list them below (this will ensure we know not to expect their student certification):
Please attach course syllabus *

Attach Files
CITI completion date (If it has been more than three years since completion, please complete the refresher course, and attach refresher CITI certificate below). * / MM / DD YYYY
Please attach your active CUNY CITI certificate (HSR for Social and Behavioral Investigators) *

Attach Files

Please note, CUNY CITI certificates are valid for three years from date of completion - if you see your CITI is expired, please complete a refresher course and upload the active certificate.
If applicable, please attach TA's CUNY CITI certificate (HSR for Social and Behavioral Investigators)

Attach Files
Draw your signature into the box below. *

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