Please Attach A COPY OF YOUR SURVEY
INLAND SCIENCE AND ENGINEERING FAIR
Certification OF COMPLIANCE OF
RESEARCH INVOLVING HUMAN SUBJECTS
Name of Student
Because federal regulations have become increasingly more rigid, students must plan carefully before undertaking research which involves the use of human subjects in either behavioral or biomedical studies. This will protect subjects from unnecessary exposure to physical or psychological risks and experimenters and schools from legal complications.
A human subject is legally defined as:
A person about whom an investigator
(professional or student) conducting scientific research obtains (1) data
through intervention or interaction with the person or(2) identifiable private
A subject at risk is legally defined as:
Any individual who may be exposed to the possibility of injury, including physical, psychological or social injury, as a consequence of participation as a subject in any research.
Students using human subjects must comply with all regulations that reflect the will of society and plan proper methodology for the protection of those subjects. It is essential that they be alert to humane concerns at all times.
The following steps must be taken before any student begins research involving subjects:
a) If none is apparent, the teacher signs the certification. (No additional certification is necessary.)
b) If any question exists, the student must redesign the experimental study or plan a different study.
NOTE: Any project involving human subjects that is developed with the advice and assistance of personnel at a medical/scientific organization must comply with any regulations of that organization requiring approval of its Institutional Review Board and Informed Consent Certification.
Describe proposed experimental procedures:
Explain why human subjects are proposed for this experimentation:
Inland Science & Engineering Fair
Certification of Compliance of Research
Involving Human Subjects
Describe and assess any potential risk (physical, psychological social, legal or other):
Describe the potential benefits to the individual or society:
Signature of Student _______________________________________ Date _____________
CERTIFICATION BY TEACHER/ADVISOR of compliance with federal regulations for the protection of human subjects in behavioral and biomedical research (Must be completed before the start of experimentation.)
I certify that, upon reviewing this research plan, I found that the experimental procedures constitute no physical, social, or psychological risk to either experimenter or subjects.
I agree to supervise this experimentation and will ensure that it is conducted in a humane, risk-free manner.
Signature ______________________________ Name (Print or Type) ___________________________
Institution Address ____________________________________________________________________
Home Address _______________________________________________________________________
Home Phone____________________________ Date ____________________________
Source of My Expertise/Authority______________________________________________________
This form, properly completed, must be part of the carefully planned procedures of any experiment involving human subjects. It must accompany any such project exhibited at, or presented for, any public display with the Inland Science and Engineering Fair.