IRB External Account Request

External Personnel will not be added to your study if your study falls into one of the following exempt categories AND the external personnel is affiliated with an IRB that holds an active Federal Wide Assurance.

Are you a Georgia State University (GSU) employee?

Yes

External Applicant First Name

External Applicant Last Name

External Applicant Email

External Applicant Affiliation

External Applicant Role

What is the scope of the external applicant’s role?

Is there a fully executed Institutional Authorization Agreement between GSU and their institution for this project?

Submitted to External IRB/Ethics Committee other than GSU?

GSU Principal Investigator Name

GSU Principal Investigator Email

Protocol Title

Protocol Number

Please upload the external applicant’s Human Subjects training documentation below

Acknowledgement of Privacy Notices: This form collects personally identifiable information. Find out about data collection and policies in the University's statement of Privacy Notices.

IRB External Account Request

External Applicant Information