IRB Application

Complete this fillable form as an application to the NMC IRB. Email to 

Submit copies for all investigators of the following with this application:

  • Investigator Agreement forms 
  • CITI Training Certificates 
  • Measurement Tools or Interview Guides
  • Educational Intervention Outline (if appropriate)
  • Consent/Agreement forms
  • Recruitment letters 
  • Research site permission letter 
(.docx, 62K)
Investigator Agreement Form

Each investigator must complete and sign this form. Submit the form with IRB application to 

(.pdf, 213K)
Conclusion of Study Report

This form must be completed at the end of a research study. 

Title Description File type

 Updated 5/25/2017


Annual Continuance Request Form

This form must be completed to continue any study past the designated expiration date.  

Title Description File type



Request for Modification Form

This form must be completed for any changes to a previously approved research project.

Title Description File type



Adverse Event Report

This form must be completed and reported to the IRB within 48 hours of an adverse event.

Title Description File type



Multi-site Agreement form
Title Description File type