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FpdDIfiyGSIpysoei3yciPhiwaChHChRXRaebxHNE4pPtj

IRB Member Application

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Please carefully read the instructions and application questions below, and then complete the application.

You may save this application and return later to complete it, but will be required to enter the code provided when you click "Save & Complete Later" in order to return to the application.

Thank you!

Thank you for your interest in serving as a member of the VCU IRB! This application is intended to inform you of the requirements of serving on the VCU IRB, and will capture the necessary information required for us to select a broad range of candidates.

You are encouraged to review the main responsibilities of an IRB member by reading VCU IRB Written Policy and Procedure (WPP) IV-2. Once you have reviewed the main responsibilities outlined in the WPP, you are encouraged to complete this application.

Please note that if you are a VCU Faculty member, the acknowledgement of your department/division chair (or Dean, if you are the department chair) is required for your application to be considered. If you are a VCU Staff member, the acknowledgement of your supervisor is required for your application to be considered. You will provide the email address of the person at VCU/VCUHS to whom you directly report (i.e.: department/division chair, dean, or supervisor, as applicable) and this form will be routed to them for acknowledgement. This acknowledgement is intended to ensure that your department/division chair (or Dean), or supervisor is aware of your desire to serve on the VCU IRB, and allows them to affirm that they will provide you with the time and support you need to fulfill the commitments of a VCU IRB Member. Your department/division chair (or Dean), or supervisor will not be able to see any of your application materials, but will be encouraged to schedule time to speak with you prior to acknowledging your application.

If you are a VCU Student/Trainee or a community member, no equivalent acknowledgements are required.

If you have questions about this application, or require assistance, please contact Human Subjects Protection Education & Outreach Manager, Nyssa Towsley, at irbeducation@vcu.edu

Your Name

* must provide value

Please enter the best email address at which to reach you

* must provide value

Please enter the best phone number to contact you at, including area code

Initial Training:
IRB members will undergo initial training to prepare them to serve as IRB members. This training is estimated to be a total of 20 hours. Much of this training is self-paced and completed online. You will be given a couple of months to complete this training. In addition to self-paced training, there will be a required, 2-hour synchronous training session. These sessions will be held on the following dates, and you are required to attend only one:

Tuesday, 1/11/2022 1:30-3:30pm EST
Friday, 1/14/2022 10:00am-12:00pm EST
Thursday, 1/20/2022 5:00-7:00pm EST

Can you commit to completing 20 hours of training within 1-2 months prior to serving as a board member, and can you commit to attending ONE of the above synchronous sessions?

* must provide value

Yes

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Monthly Commitments:
IRB members are expected to attend at least one meeting per month. Meetings are held twice a week and last an average of 3-4 hours and are currently held virtually using Zoom (post-pandemic, there may be meetings in-person on campus). In addition, there are about 2-3 hours' worth of preparatory work to be completed within 1 week before each meeting. Can you commit to attending one meeting per month, with an average of 5-7 hours of work per meeting (including meeting time and prep work)?

* must provide value

Yes

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Ongoing Training:
IRB Members are expected to complete monthly ongoing training, usually self-paced online training. Ongoing training is expected to take 30 minutes to an hour each month. On occasion, there may be additional required ongoing training outside of this usual 1 hour per month. Additionally, each fall there is an all day (6-7 hours) internal IRB Member Conference, attendance at which is required for all IRB members. Can you commit to engaging in up to 1 hour of training each month as well as periodic additional training as required, including a full-day internal conference for IRB members to be held in fall?

* must provide value

Yes

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Thank you for your interest in serving as a member on the VCU IRB. However, based on your responses, you indicated you may not be able to meet the commitments of an IRB member. Please consider applying to be a member in the future when your commitments change.

Service Term:
Although appointment to the VCU IRB is for a one-year term, with term renewal considered on an annual basis, we ask that new members consider a two-year commitment to this service. Additional information regarding IRB member appointment can be found in WPP IV-2. Would you be willing and able to commit to serving on the VCU IRB for 2 years? (Note: a response of "no" or "unsure" will not automatically disqualify you, but will be taken into consideration during application reviews).

* must provide value

Yes

Unsure

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Technology Access:
As mentioned above, currently all IRB meetings are held virtually using the teleconferencing software, Zoom. Do you have sufficient technology/internet access to attend virtual meetings using Zoom? (Note: a response of "no" will not automatically disqualify you, but will be taken into consideration during application reviews).

* must provide value

Yes

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Please select the option that describes you best

DEFINITIONS:
"Affiliated" means you (or an immediate family member) are an agent or employee of VCU/VCUHS. "Affiliated" includes (but are not limited to) individuals who are: part-time employees; current students; members of any governing panel or board of the institution; paid or unpaid consultants; healthcare providers holding credentials to practice at the institution; and volunteers working at the institution on business unrelated to the IRB, or have been any of those things within the past year. You may be "unaffiliated" if your only association with VCU/VCUHS is that of patient, subject, or former student (if you ceased being a student more than a year ago).

* must provide value

VCU Faculty

VCU/VCUHS Staff

VCU Student/Trainee (including undergrad, graduate, post-doc, and resident/fellow)

Unaffiliated with VCU (see definition above)

Other VCU/VCUHS Affiliation (if you are not faculty, staff or a student, but don't meet the definition of "unaffiliated" above)

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Please enter the email address of the person to whom you primarily report at VCU/VCUHS (i.e.: division or department chair, or Dean if you are a department chair, or center/institute equivalent)

As a reminder, this person's acknowledgement is required for your application to be considered. This person will NOT be able to see your application, but will be encouraged to schedule time with you to discuss your application before acknowledging it.

* must provide value

Please enter the email address for your supervisor.

As a reminder, supervisor acknowledgement is required for your application to be considered. Your supervisor will NOT be able to see your application, but will be encouraged to schedule time with you to discuss your application before acknowledging it.

* must provide value

Please upload a CV or Resume detailing your educational and/or professional qualifications. This will be utilized to help determine your areas of expertise.

* must provide value

Upload file

The VCU IRB reviews many different types of research that involve many different types of people. Please describe any special expertise you have with subject areas or populations that you feel you could represent as an IRB member (i.e.: prisoners, pregnant people, cancer patients, LGBTQ+ individuals, children, students, mental health, etc.)

* must provide value

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The VCU IRB strives to represent people and communities of all kinds by selecting board members whose experiences, expertise, and cultural background contribute to the diversity of the IRB. Diversity can be considered part of the communities you serve and the experiences you've had (i.e.: being a patient advocate or cancer survivor), as well as more traditional notions of diversity such as race, gender, sexuality, etc. How would your experiences contribute to the diversity of perspectives on the VCU IRB?

* must provide value

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Given the definitions below, please select the option that describes you best. IRBs are required to have scientist and nonscientist members. Categorizing yourself as scientist or nonscientist will help the VCU IRB select a diverse membership

DEFINITIONS:
Scientist/Nonscientist: Members whose training, background, and occupation would incline them to view scientific activities from the standpoint of someone within a behavioral or biomedical research discipline should be considered a scientist, while members whose training, background, and occupation would incline them to view research activities from a standpoint outside of any biomedical or behavioral scientific discipline should be considered a nonscientist.

* must provide value

Scientist

Nonscientist

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.