ࡱ> U 0 bjbjnn  aa_''L(L(L(`(`(`(8(t)d`(*****1"<1 H1acccccc$x.jL(P1^0|0@P1P1''**p555P1R'*'8*p5P1a55`X4(!d*_x31Ra(ݢ0%b1P!d!dt L(pH2P1P15P1P1P1P1P13P1P1P1P1P1P1P1P1P1P1P1P1P1P1P1P1B &: Research Ethical Approval Application Form REAAF/EDU/Department/Year/Form No. General Notes This application form is for the use of all researchers within the College of Education who are planning to carry out scientific research. All fields in the form must be completed and sent via e-mail to the coordinator of the departmental scientific research committee. The form must be filled out electronically (handwritten forms will not be accepted). Ethical approval is to be applied for after the construction of the research tools. Applications must be submitted to the College Research Ethics Committee at least three weeks before data collection is to begin. The College Research Ethics Committee reviews applications and makes recommendations regarding ethics approval. 1- Applicant details Name E-mailPhone No.DepartmentagIJ ID No. 2- Title of the research project, period/place of data collection Project titleData collection periodPlace of data collectionProject code, if any Principal Investigator E- mailInstitution/ Department 3- Research project details 3-1 Project abstract Not to exceed 200 words:  3-2 Select the type of data collection tool to be used: Survey Individual/group interview Classroom observation Tests Others. 3-3. A brief description of the data collection method (not to exceed 200 words). 4. Information about the target group in the study: Under 18 years of age 18 years of age or older People with disabilities Patients Other 4-1. Does the study include anything that contradicts the applicable laws and regulations in Oman, or topics that are deemed sensitive? No Yes If yes, please clarify: 5. Risks of the study for individuals Does the study pose any of the following risks to the study participants? Physical Psychological Family Institutional If yes, what are the actions taken in this regard? .................................................................................................. 6. Please choose the appropriate answer to each question: YesNoNot applicable1Will written consent be obtained from participants? 2Will participants be provided with written information explaining the study procedure before engaging them in the study?3Will participants be informed that their participation is voluntary and that they may withdraw from the study at any time?4Will participants receive any compensation or incentives for their participation in this study? If yes, please provide details ....5Will participants be informed of the complete confidentiality of the data and that no identifying data will be used in the case of publication? 7. Documents included with this application Does this application contain the following documents?YesNoNot applicable1Protocol of the research project 2Study tools/instruments3Ethics approval for studies outside Sultan Qaboos University (if any)4Official approvals, if any 8. The applicant undertakes to: 1. I undertake to conduct this research in accordance with the highest international ethical standards and to inform the Research Ethics Committee of any changes to the research protocol for this study. 2. I undertake to keep the data related to the study strictly confidential and not to share any identifying personal data with any other party, whether during analysis or publication. 3. I undertake not to share sensitive data with parties outside the Sultanate except after obtaining the approvals of the competent authorities. 4. I declare that I have obtained approval to use tools from other researchers (if any). Applicant's name:Date: Signature: For official use only: After the Research Ethics Committees review of the application, the committee recommends the following: Approve the application Postpone the approval due to . 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