MTSU Institutional Review Board

Important Document

Download Investigator's Manual for Human Subjects Research


Forms for Researchers

Download Applications for New Research

*Do not modify applications. Answer all questions completely and thoroughly. If you feel a question does not apply to you state that and explain why. Do not leave any questions blank. Incomplete applications will not be approved and will be returned to you for completion.

IRB application for Full or Expedited Review

* Not sure which of these to use? See the Decision Chart or FAQ for information on whether your research will qualify for Exempt, Expedited of Full Review.

Download Forms for Biological Specimens or DNA

Download Forms for Progress and Final Reports

Download Current Versions of Consent and Assent Forms

Informed Consent Template

Interview Informed Consent Template

Assent Template

Request Waiver or Alteration of Consent: Please note to alter or waive consent, you must provide justification to do so.  Fill out the appropriate portion of the Request for Waiver or Alteration of Consent and attach it to your IRB application.

If you are collecting Protected Health Information you will need to add additional language to your consent form, download a template below.

If you or an institution you are affiliated with may make money related to your research you need to add the Conflict of Interest Disclosure to your consent form, download below.

        Language to be inserted into Informed Consent for Special Cases:



Forms for IRB members

Reviewer comment form

Download Supplemental forms for Vulnerable Populations:

Research involving Minors
Research involving Cognitively Impaired Populations
Research involving Prisoners


Please send all correspondence to:

MTSU Institutional Review Board (IRB)
c/o Leigh Gostowski
Sam H. Ingram Bldg. 011B
Murfreesboro, TN 37132
PH: 615-494-8918
FX: 615-898-5028



If you need to report a study-related injury, or if you have questions, please contact the Compliance Officer, Leigh Gostowski at complian@mtsu.edu or 494-8918.

If you have any concerns regarding integrity and ethics in research and scholarship at MTSU, please do not hesitate to call (615) 898-8918 or e-mail irb@mtsu.edu. The confidentiality of anyone who contacts the office will be protected under the Whistleblower Protection Act. Working together we will promote the highest standard of integrity and ethics in research and scholarship.

Leigh Gostowski
Compliance Officer
Sam H. Ingram Bldg. 011B
Murfreesboro, TN 37132
PH: 615-494-8918
FX: 615-898-5028
Email: gostowsk@mtsu.edu



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