Checklist for Adult Sponsor

This Completed by the Adult Sponsor in collaboration with the Student researcher:

Student‘s Name:

Project Title:

1.     I have reviewed the ISEF Rules and Guidelines.

2.     I have reviewed the student’s completed Student Checklist  (1A) and Research Plan.

3.     I have worked with the student and we have discussed the possible risks involved in the project

4.     The project involves one or more of the following and requires prior approval by an SRC, IRB, IACUC or IBC:

Humans  Microorganisms   DNA        Tissues                   Vertebrate Animals

5.     Forms to be completed for ALL Projects:

Adult Sponsor Checklist (1)                Research Plan

Student Checklist (1A)                        Approval Form (1B)

                Regulated Research Institutional/ Industrial Setting Form (1C) (when applicable)

                Continuation Form (7) (When applicable)

6.     Additional Forms required if the project includes the use of one or more of the following (check all that apply):

a.     Humans (requires prior approval by an Institutional Review Board (IRB), see pp. 13-16 for full text of the rules)

                                                i.      Human subject Form (4)

                                                ii.      Qualified Scientist Form (2) (When applicable and/or required by the IRB)

b.     Vertebrate Animals (Requires prior approval, see pp. 17-20 for full text of the rules)

                                                i.      Vertebrate Animal Form (5A)- for projects conducted in a non-regulated research site (SRC prior approval required.)

                                                ii.      Vertebrate Animal Form (5B)- for projects conducted at a Regulated Research Institution. (Institutional Animal Care and use Committee (IACUC) approval required for experiment.)

                                                iii.      Qualified Scientist Form (2) (Required for all vertebrate animal projects at a regulated research site or when applicable)

c.     Potentially Hazardous Biological Agents (requires prior approval by SRC, IACUC or Institutional Biosafety  Committee (IBC), see pp. 21-24 for full text of the rules.)

                                                i.      Potentially Hazardous Biological Agents Risk Assessment Form (6A)

                                                ii.      Human and Vertebrate Animal Tissue Form (6B)- to be completed in addition to Form 6A when project involves the use of fresh or frozen tissue, primary cell cultures, blood, blood products and body fluids.

                                                iii.      Qualified Scientist Form (2) (When applicable)

                                                iv.      Risk Assessment Form (3) Required for projects involving protists, archae and similar microorganisms and for projects using manure for composing, fuel production or other non-culturing experiments (6A, 6B and  2 are not required)

d.    Hazardous Chemicals, Activities and Devices (No prior approval required, see pp. 25-27 for full text of the rules.)

                                                i.      Risk Assessment Form (3)

                                                ii.      Qualified Scientist Form (2) (required for projects involving DEA- controlled substances or when applicable)

Adult Sponsor’s Printed Name                          Signature                                               Date of Review

Phone                                                                    Email

Student Checklist (1A)

This form is required for ALL projects

1.     Student/Team Leader:                                                            Grade:

Email:                                                                                      Phone:

Team Member:                                                                       Team Member:

2.      Title of project:

3.     School:                                                                                     School Phone:

School Address:                                  

4.     Adult sponsor:                                                                         Phone/Email:

5.     Is this a continuation from a previous year?

If Yes:

a.      Attach the previous year’s         Abstract          Form 1A and Research Plan

b.      Explain how this project is new and different from previous years on   Continuation Form (7)

6.     This year’s laboratory experiment/data collection will begin: (must be stated (mm/dd/yy)

Projected Start Date:                                                  Projected End Date:

(Projected dates are required for projects that require SRC/IRB prior review)

Actual Start Date:                                                       Actual End Date:

7.      Where will you conduct your experimentation? (Check all that apply)

Research institution    School              Field    Home              Other:

8.      List name and address of all non-school work site(s):

Name:

Address:

Phone:

9.      Complete a Research Plan as described on page 31 and attach to this form.

10.   An abstract is required for all projects after experimentation (see page 28)

Research Plan Instructions

A complete research plan is required and must accompany Checklist for Student (1A)

Provide a typed research plan and attach to Student Checklist (1A).

The research plan for ALL projects