MSSU Human Subjects Protections Policy

Institutional Review Board Application Form


Word documentApplication in Word Adobe documentApplication in Adobe PDF

You should click on one of the icons above to download a complete printable version of the Application Form to be completed for the IRB and then submitted in paper form with appropriate attachments and signatures.

The IRB numbering scheme is detailed below:
  • Number Scheme (aaaa-b-cccccc-ddd)
    — a. Department of Researcher (four letters)
    — b. Student (S), Faculty (F) or Graduate Student (G) Researcher (one letter)
    — c. Year/Semester-Banner style (four/ two digits)
    — d. Sequence Number (three digits)
  • Number example: NURS-S-200680-001 would indicate a research application from an undergraduate student in the Nursing Department during the fall 2006 semester. This would be the first application from that department for this semester.
Department Abbreviations for IRB Numbers
ARTG Art KINE Kinesiology
BIOL Biology PSYC Psychology
COMM Communications TEDU Teacher Education
ENGP English & Philosophy IETC Industrial Engineering Technology
FLNG Foreign Language CISC Computer Information Science
MATH Mathematics DHYG Dental Hygiene
MUSC Music CJUS Criminal Justice
PHYS Physical Science NURS Nursing
SOSI Social Science RADT Radiologic Technology
THTR Theatre REST Respiratory Therapy
ACCT Accounting INTS International Studies
FECI Finance, Economics &
International Business
NOAC Non-Academic Department
MKMG Marketing & Management    

The version shown below is for reference only and is not currently “live” for electronic submission.

Application Form
Contact Information
Missouri Southern State University