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EMDRC.B | RESEARCH PROPOSALThe purpose of the proposal review is to assess the proposed research project for scientific quality before application for research ethics approval. All research being conducted within EMCT should be approved by the EMDRC prior to ethical review. The proposal should be submitted by the student for degree related research, or the principal investigator for non-degree research. About the researcher:Name and surname: FORMTEXT ?????Email address: FORMTEXT ????? For degree: FORMDROPDOWN Highest qualification: FORMTEXT ????? Student number: FORMTEXT ?????Primary affiliation: FORMDROPDOWN Which of the following research methodology courses have you successfully completed: FORMCHECKBOX None FORMCHECKBOX MPhil CRM1 module FORMCHECKBOX MPhil CRM2 module FORMCHECKBOX Qualitative research methods course FORMCHECKBOX Coursera “Understanding clinical research methods” course FORMCHECKBOX Other: FORMTEXT ?????Number of previous research publications in a journal: FORMTEXT ?????About the research team:DEGREE RESEARCH: List your supervisors and co-supervisors. The first listed must be your primary supervisor, and must have the same institutional affiliation as you. NON-DEGREE RESEARCH: At least one of the collaborators must be affiliated with either SUN or UCT. You may be required to sign a data share agreement prior to final EMDRC approval being granted. NameAffiliationEmailHighest qualification FORMTEXT ????? FORMDROPDOWN FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????About the project:Project title: FORMTEXT ?????Submission chronology: FORMDROPDOWN EMDRC Reference: EM20 FORMTEXT ?????Please select one main research priority: FORMDROPDOWN Please write out your research question or aim: FORMTEXT ?????Max. character count: 250To help us assign the most appropriate reviewers, briefly outline the proposed study design and methodology: FORMTEXT ?????Max. character count: 2000If the proposed study uses methodology in which you are not trained, please describe how this will be addressed before commencing the study: FORMTEXT ?????Max. character count: 250About this submission: FORMCHECKBOX I have prepared this proposal according to the proposal guidelines of the ethics committee by which it will be reviewed FORMCHECKBOX My primary supervisor has reviewed and approved this proposal for submissionSubmission instructionsSave this document, either as a Word document or a Pdf, as follows: EMDRC.B <your last name>. Example, if your last name is Smith the file name should be saved as: EMDRC.B SmithEmail the completed form, together with your proposal in word format, to Ms Vathiswa Mzamo at Vathiswa.mzamo@uct.ac.za Incomplete forms will be returned to you for completion before processingYour supervisors will be contacted to confirm that they are aware of the submission. ................
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