Organisational Approval

ORGANISATIONAL APPROVAL

ABOUT THIS FORM

This Form is for use by anyone proposing to conduct research at Scope (including requests to distribute information about the research to potential participants or communicating with them about the research).

The information provided on this form is used to determine whether or not organisational approval can be given to the research. Organisational approval is based on:

• The impact, risk, benefit, and relevance of the research to Scope (including the people we support, staff, and volunteers);
• Alignment to the Strategic Plan and Research Plan;
• Budgetary considerations; and
• Resources required.

You will be notified in writing about the outcome of the review.

Please note!

• Research cannot be conducted without organisational approval.
• Organisational approval is an essential pre-requisite to applying to Scope’s Human Research Ethics Committee for ethical approval.

Submitting this application

Incomplete or inadequate applications will not be considered.

For more information or to submit your application, please contact:

Dr Stella Koritsas
Head of Strategic Research

9843 3000

APPLICATION TO CONDUCT RESEARCH AT SCOPE

Interim Project Title

1. Project details

a) Broad category of research (select as many of the following that apply):
Action research
Case study/ies
Clinical trial/use of drugs or other device
Medical/clinical research
Qualitative
Quantitative
Social Science
Other (please specify)…………………………………………………
b) Type of project:
Research by academic staff
Research by Scope staff
Undergraduate research
Honours research
Masters/PhD research
Other (please specify)……………………………………………………….
c) Service types to be involved:
2. Timelines
a) Anticipated time-frame for data collection and on-site activities
b) Preferred commencement and completion dates for component at/involving Scope / Commence Date:
Completion Date:
c) Proposed start and end dates of full project / Start Date: End Date:
3. List all researchers who will be involved in the project and their institution (copy and paste to add additional researchers)
Name:
Appointment:
Institution:
Name:
Appointment:
Institution:
4. Provide a brief lay summary of the project (no more than one page). State your hypothesis, aims, methods, participants, any other relevant details.
5. What are the benefits of the research to Scope (organisation, people we support, staff)?
Consider potential to change practice and/or influence policy
6. What are the risks of the research for Scope (including ethically contentious aspects of the research such as dependent/unequal relationships and the potential for coercion, distress, Organisational risk)?
7. What impact will the research have on service delivery and the people we support?
(e.g. disruption to services)
8. What is the nature of Scope involvement? Please give details of resources and assistance required from Scope.
Consider time required for staff to participate and the associated cost, mail outs and other resourcing required.
APPLICANT CONTACT INFORMATION
Contact Person:
Phone:
Email:
Fax:
Mailing Address:
Signature
For Scope use only
COMMENT FROM RESEARCH MANAGEMENT, AND GENERAL MANAGER RESPONSIBLE FOR AFFECTED SERVICES on benefits, risks, impact on service delivery and clients, impact on resources and staffing, including a decision regarding approval.
Scope is willing / unwillingto support this research and is / is not able to offer the assistance outlined above. The researcher may now / notapply to the Scope Human Research Ethics Committee for ethical review.
Signature:______Date:______
(Scope Head of Strategic Research/Manager of Research & Practice Enhancement):
Signature:______Date:______
(GM of affected service/s):

Effective Date: 7.7.2014Research

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