FRECSL Institutional Membership Application

3. Address

Address Line 1 *

Address Line 2

Address Line 3

Post Office *

Postal Code

5. Email Address *

6. Has your REC/ ERC ever had its FRECSL institutional membership terminated previously due to any of the following? Check all that apply. Leave blank if not applicable.

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The Research Ethics System

7. What is the institutional authority under which your REC/ ERC functions? *

8. Are there specific Standard Operating Procedures (SOPs) approved by the relevant institutional authority? *

📅 9. If yes, what is the date of such approval? Required if you selected 'Yes' in the previous question.

📅 10. For how long has the REC/ ERC been functioning? * Please provide the date of establishment.

11. Is your REC/ ERC confined to reviewing research protocols submitted solely by members of your own institution? *

Yes, confined to institution

No, we accept protocols from outside

12. What types of research studies are reviewed by your REC/ ERC? * Check all that apply. (At least one selection is required)

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Establishment of the REC/ ERC

13. Who is the appointing official for the REC/ ERC? *

14. Does the REC/ ERC have a multi-sectorial and multidisciplinary membership? *

Yes

15. How many total members are in the REC/ ERC? *

16. How many non-scientific members are in the REC/ ERC? *

17. How many non-medical members are in the REC/ ERC? *

18. Does the REC/ ERC include members who are not affiliated with your institute? *

Yes

19. Do the REC/ ERC's policies prohibit high-level officials from serving as members of the REC/ ERC? * Policies should specify that high-level officials of the entity creating the REC, or of any organization that sponsors or conducts the research reviewed by the ERC (such as the director of an institution), do not serve as members.

Yes

20. Are REC/ ERC members provided with training on the ethical aspects of health-related research and review procedures when they first join the committee? *

Yes

21. Are REC/ ERC members provided with ongoing, periodic training during their committee service? *

Yes

22. REC/ ERC Committee Members * (0 Added)

You must list exactly the number of members stated in Question 15. You may nominate a maximum of 3 members to the FRECSL Management Committee.

Final Remarks

23. Remarks / Additional Information Use this space to provide any extra context, clarifications, or details you feel the committee should know.