Undergraduate Research Student Training and Compliance Form
Questions marked with a
Undergraduate students involved in research at Virginia Tech must receive appropriate training before engaging in their projects and should be added to any related protocols. This check sheet must be completed before students may begin conducting research as volunteers, for credit, or for pay. Please direct questions to Keri Swaby in the Office of Undergraduate Research (email: firstname.lastname@example.org).Descriptive/Spacer Text Here
Name of undergraduate researcher
vt email address of undergraduate researcher
Primary major of undergraduate researcher
Last four digits of VT Student ID# of undergraduate researcher
Full name of faculty mentor
Faculty mentor’s home department
Brief description of student’s research project
Please indicate which general research training the undergraduate student has already completed:
Conflict of Interest (COI)
Responsible Conduct of Research (RCR)
COI date completed:
RCR date completed:
Does the student’s project involve the use of Human Subjects?
If yes, please provide protocol number: IRB #
Does the student’s project involve the use of Vertebrate Animals?
If yes, please provide protocol number: IACUC#
Does the student’s project involve the use of synthetic biology, rDNA/rRNA, transgenic animals or plants; bio‐hazardous materials (toxins, prions, bacterial, viral, fungal or parasitic agents that are infectious to humans, animals or plants or in which there is a deliberate transfer of a drug resistant trait), human or nonhuman primate blood, body fluids, cells or tissue culture; Select Agents; Dual Use Technologies which could threaten national security or be used for bioterrorism?
If you answered yes for any of the above questions, students must receive appropriate training before participating in any research activities. For your convenience, links to more information and training instructions are available on OUR website:
Signature of person completing form/Date
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