AOSC Project/Mentor Change
AOSC Project/Mentor Change
Date of application
Date of application
*
/
MM
/
DD
YYYY
Student Name
Student Name
*
First
Last
Student NetID (as unique identifier)
*
Student Class Year
*
Student Email
*
Name of Current Project Mentor
*
Current Mentor's Department
*
Current Mentor's Email
*
Do you want to change mentors?
*
Do you want to change mentors?
Yes
No
Other
Other
New Mentor Name
*
New Mentor Department
*
New Mentor Email
*
New Project Title
*
Does this study require IRB approval?
Does this study require IRB approval?
Yes
No
Other
Other
If this project requires IRB approval, please select one of the following:
If this project requires IRB approval, please select one of the following:
I plan to submit a new IRB study for Expedited Review
I plan to submit a new IRB study for Full Board Review
I plan to submit a revision to a currently approved IRB study Expedited Review
I plan to submit a revision to a currently approved IRB study Full Board Review
I plan to submit a new IRB study for Exempt Review
IRB Project Number
Other comments