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CONFIDENTIAL
Stage 1 Research Ethics ApplicationForm
Section 1: Details of the Researcher and their Research
N.B. If you are conducting research that involves‘animals (dead or alive)andsignificanthabitats’,please use the Stage1ResearchEthicsApplicationForm involvingAnimalsandHabitats (www.aru.ac.uk/researchethics).
Applicants carrying out research with children or vulnerable adults may also need to carry out an online Safeguarding course and submit the pass certificate with their ethics application. Please refer to the Question Specific Advice for the Stage 1 Research Ethics Application Form at the above weblink.
Researcherdetails
First name

Family name

School/Faculty
Allied Health/HEMS
Email address

Name of Institution where you study or work
Anglia Ruskin University
Are you:Pleasetick
Undergraduate (UG) Student Postgraduate Taught (PGT) Student Postgraduate Research (PGR) Student Member of ARU Staff Member of ARU staff carrying out Masters/Doctorate research
Students (including staff proposing research on a course/programme)
Your SID

Your course/programme title

Name of your First Supervisor (for PGR) or Supervisor (for UG and PGT)
Gerald Egbury SFHEA, FSET
Research details
Titleofyourresearchproject N.B. For UG/PGT students,thisisnotthetitleof your researchmodule

Name and institutional affiliation of any research collaborators

.
Date of application

Start date of proposed research

Brief ProjectSummary(upto700words) Please summarise your research in non-specialist language.
Please describe where relevant:Methodology (please describe what you plan to do as opposed to providing a background in your chosen methodology) Theoretical approaches Researchquestions Details of participant population (recruitment, inclusion andexclusion criteria
Rationale. Aims Objectives Research Questions Inclusion/Exclusion Criteria Methodology .
Please explain the potential value of your research to society and/or the economy and its potential to improve knowledge and understanding.

Section 2: Research Ethics Checklist (Refer to Section 3 for an explanation of the colour coding.)
N.B. If you are conducting research that involves ‘animalsandsignificanthabitats’,please use the Stage1ResearchEthicsApplicationForm involvingAnimalsandHabitats (www.aru.ac.uk/researchethics).
You must provide a response to ALL questions. Please refer to the Question Specific Advice for completing the Stage 1 Research Ethics Application Form for guidance.

Willyour r esearch (delete as appropriate): YES/NO
1
Involve human participants?

No
2
Utilise data that is not publically available?

No
3
Create a risk that individuals and/or organisations could be identified in the outputs?

4
Involve participants whose responses could be influenced by your relationship with them or by any perceived, or real, conflicts of interest?

5
Involve the co-operation of a ‘gatekeeper’ to gain access to participants?

6
Offer financial or other forms of incentives to participants?

7
Involve the possibility that any incidental health issues relating to participants could be identified?

8
Involve the discussion of topics that participants may find distressing?

9
Take place outside of the country where you work and/or are enrolled to study?

10
Cause a negative impact on the environment (over and above that of normal daily activity)?

11
Involve genetic modification of human tissue, or use of genetically modified organisms classified as Class One activities?1.

12
Involve genetic modification of human tissue, or use of genetically modified organisms above Class One activities?2.

13
Collect, use or store any human tissue or DNA (including but not limited to, serum, plasma, organs, saliva, urine, hair and nails)?3

14
Involve medical research with humans, including clinical trials or medical devices?

15
Involve the administration of drugs, placebos or other substances (e.g. food, vitamins) to humans?

16
Cause (or have the potential to cause) pain, physical or psychological harm or negative consequences to humans?

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17
Involve the collection of data without the consent of participants, or other forms of deception?

18
Involve interventions with people aged 16 years of age and under?

19
Relate to military sites, personnel, equipment, or the defence industry?

20
Risk damage/disturbance to culturally, spiritually or historically significant artefacts/places, or human remains?

21
Contain research methodologies you, or members of your team, require training to carry out?

22
Involve access to, or use (including internet use) of, material covered by the Counter Terrorism and Security Act (2015), or the Terrorism Act (2006), or which could be classified as security sensitive?4

23
Risk being construed as encouraging terrorism or inviting support for proscribed organisations and/or contain extremist views that risk drawing people into terrorism or are shared by extremist groups

24
Involve you or participants in a) activities which may be illegal and/or b) the observation, handling or storage (including export) of information or material which may be regarded as illegal?

25
Does your research involve the NHS (require Health Research Authority and/or NHS REC and NHS R&D Office cost and capacity checks)?

26
Require ethical approval from any recognised external agencies (Social Care, Ministry of Justice, Ministry of Defence)?

27
Involve individuals aged 16 years of age and over who lack ‘capacity to consent’ and therefore fall under the Mental Capacity Act (2005)?

28
Involve processing special category data5 and/or intend to recruit 100 or over participants? (only answer if your research involves the EEA – see Section 5 for further information).

29
Pose any ethical issue not covered elsewhere in this checklist (excluding issues relating to animals and significant habitats which are dealt with in a separate form)?

Please note that the Faculty Research Ethics Panel (FREP) will refer to the Office of the Secretary and Clerk any application where, in the view of the Chair, the proposed research poses a risk of a legal or security related nature to Anglia Ruskin University.  The Chair will seek guidance from the Secretary and Clerk before the FREP decides if the proposed research can be granted ethical approval and/or the nature of any special arrangements which need to be put in place. 
Section 3: Approval process
All student applications must be sent to your Supervisor for checking.
Your Supervisor must then forward the application to the SREP/FREP (as appropriate)
FREP = Faculty Research Ethics Panel
SREP = School Research Ethics Panel
NO answered to all questions
Risk category Green
Complete Section 6 of this form and then send it to your SREP.
You do not require ethical approval from a committee.
Youcanstartyourresearchimmediately.
YES to any of Questions 1-11 and/or 29 but NO to all other questions
Risk category Yellow
Complete Section 4 -6 of this form and submit it, and the Participant Information Sheet (PIS) and Participant Consent Form (PCF), to your SREP. Your faculty may require further documents.
You need to wait for ethical approval before you start your research.
YES to any of Questions 12-24
Risk Category Red
Complete Section 5 and 6 of this form and complete the Stage 2 Approval form. Submit both, and any other documents required, to your FREP.
If you answered YES to Question 23 you must also complete and submit for consideration by the committee the Stage 3 Approval form.
You need to wait for ethical approval before you start your research.
YES to any of Questions 25-27
Risk Category Purple
Yes to Question 28
Risk Category Blue
You need external approval(s) which, if granted, may be regarded as equivalent to approval from an Anglia Ruskin ethics committee.
Refer to the Question Specific Advice for the Stage 1 Research Ethics Application Form and Code of Practice for Applying for Ethical Approval for further information
Youneedtowaitforethical and/or governanceapprovalbefore youstartyourresearch.
You must also complete the Special Category Data Questions and submit these with your application (see Section 5).
Section 4: Project details
Management of Ethical Risk
For each of Questions 1-11 and Question 29, where you have responded ‘Yes’,pleaseexplain for the panel howyoujustify andwillmanagetheethicalrisk created. Your research is in the Yellow risk category.
Not applicable
Section 5: Data Protection
If your research involves personal data and will be in the European Economic Area (EEA), involve transferring data in or out of the EEA (the EEA includes EU member states and also Iceland, Liechtenstein and Norway) or accessing ARU servers within the UK.

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You must complete the Research Checklist for Data Protection and confirm that you have done this in Section 6.
https://web.anglia.ac.uk/anet/staff/sec_clerk/Data%20Protection/guidance/research.phtml
If you have said ‘yes’ to Question 28, you must also complete the Further Data Protection Questions and follow further instructions if applicable. You need to submit this document with your ethics application.
https://web.anglia.ac.uk/anet/staff/sec_clerk/Data%20Protection/guidance/research2.phtml
If your research will not involve the EEA, you need to confirm in Section 6 that you will comply with the data legislation relating to the country you are carrying research out in or transferring data in or out of.
Produced by Corporate Marketing, International & Development Services, ARU 15-16/136/MB Section 6: Confirmation/Declaration statements

ConfirmationStatements (delete as appropriate)
1
I have completed the relevant training in research ethics.6

2
I have consulted the Research Ethics Policy and the relevant sections of the Code of Practice for Applying for Ethical Approval, available at www.aru.ac.uk/researchethics.

3
I have completed a Risk Assessment (Health and Safety) and had it approved by the appropriate person.7

4
Either I have reviewed the Research Checklist for Data Protection and comply with its requirements. If I needed to complete the Further Data Protection Questions, I obtained advice from our Data Protection Officer if any of my responses were ‘no’ and submit the correspondence with this ethics application. Or for research that does not involve the EEA, I will comply with any data protection legislation of the country or countries that my research will involve.

5
For research funded externally where the funding was acquired via Anglia Ruskin, I have completed a Project Risk Assessment.8

6
I have attached my confirmation of passing a Safeguarding course.

7
If my research project involves a contract between Anglia Ruskin University and an external party, I have had the contract approved by the Secretary and Clerks Office9

ApplicantDeclaration
By sending this form from my Anglia Ruskin e-mail account, I confirm that I will undertake the research as detailed here. I understand that I must abide by the terms of my ethical approval and that I may not amend the research without further ethical approval. I also confirm that the research will comply with all Anglia Ruskin ethical guidance, all relevant legislation and any relevant professional or funding body ethical guidance.
Supervisor/FirstSupervisor Declaration
By sending this form from my Anglia e-mail account, I confirm the statements in the Applicant Declaration and that I will supervise the research as detailed in the application.
Thank you for completing the Stage 1 Research Ethics Application Form.
Please submit it as follows:
Staff Researchers: Send form directly to the relevant committee.
Student Researchers (including staff carrying out research in a student capacity): Send form to Supervisor/First Supervisor.
Supervisor/First Supervisor: Check application and forward to the relevant committee.
For FREP/SREP details please visit the Ethics website: https://web.anglia.ac.uk/anet/rido/ethics/about/frep.phtml On this page you will also find links to each Faculty’s website where more information on SREPS can be found.
Date
16 September 2019
Version 4.9
1 Email FST-Biologicalsafety.GMO@aru.ac.ukfor further information.
2 As above.
2
3 For any research involving human material you must contact ARU-HBMC@aru.ac.uk for further guidance on how to proceed.
4 The Counter Terrorism and Security Act (2015) and Terrorism Act (2006) outlaws web posting of material that encourages or endorses terrorist acts, even terrorist acts that have occurred in the past. Sections of the Terrorism Act also create a risk of prosecution for those who transmit material of this nature, including transmitting the material electronically. The storage of such material on a computer can, if discovered, prompt a police investigation. Visits to websites related to terrorism and the downloading of material issued by terrorist groups (even from open-access sites) may be subject to monitoring by the police. Storage of this material for research purposes may also be subject to monitoring by the police. Therefore, research relating to terrorism, or any other research that could be classified as security-sensitive (for example, Ministry of Defence-commissioned work on military equipment, IT encryption design for public bodies or businesses) needs special treatment. If you have any doubts about whether your research could be classified as security-sensitive, please speak to your FREP Chair.
5 Special category data is defined as personal data which reveals racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a person, and data concerning health or data concerning a person’s sex life or sexual orientation.
6 Where required, UG or PGT students must submit confirmation with this form that they have passed the on-line ethics training. Some courses have exemption from this requirement. Please check with your supervisor.
7 For research conducted at ARU including University Centre Peterborough and College of West Anglia, go tohttps://web.anglia.ac.uk/anet/staff/sec_clerk/for the relevant guidance. Students at other institutions must follow local processes.
8 For details go to web.anglia.ac.uk/anet/rdcs/compliance/faqs.phtml
9 For details go to http://web.anglia.ac.uk/anet/staff/sec_clerk/

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