Full Title of Research Project
Analyzing Male Depression in Canadian University Students
Checklist of Attachments

Proposed Recruitment Advertisement/ Letter

Proposed Information Letter for Parents/Guardians/ Proxy

Proposed Information Letter for Participants

Proposed Consent Form for Parents/Guardians/ Proxy
X
Proposed Consent Form for Participants

Proposed Consent Form for Agency
X
Proposed Interview Questions

Other Attachments: (provide details)

Proposed Questionnaire or Other Instrument

X
Proposed Script (oral) Inviting Participants

Proposed Debriefing Statement

Agreement
I/we have read the University's current guidelines for the ethical conduct of research involving human participants, available on the Office of Research web page and agree to comply with them.
If Applicable, Confirmation of Supervisor’s/Instructor’s Review
Students who are conducting human-participant research for their thesis or other course work must submit their projects for ethics review prior to undertaking their research. This review is carried out by either the University Research Ethics Board (in the case of graduate students) or Departmental or Faculty Ethics Review Committees (in the case of most undergraduate students; if an undergraduate student’s research is of greater than minimal risk or is part of a faculty member’s own research, then the University Research Ethics Board reviews and approves the project).
As part of the review process the Research Ethics Board or the Departmental Ethics Review Committee must ascertain whether there is sufficient scholarly merit to the research; in other words, is this a valid piece of research? For this reason, it is important that a student’s ethics proposal be carefully scrutinized by the student’s supervisor or course instructor prior to submission for review. A well-conceived and carefully presented research project will pass through the ethics review process more quickly than one that has not received adequate input from the student’s supervisor, course instructor, and/or supervisory committee. For this reason, the University Research Ethics Board and the Departmental Ethics Review Committees require that student supervisors or course instructors complete this section.
I have read the attached ethics application and reviewed the scholarly methods of the research project. I attest that they are sound and appropriate.
Supervisor’s/Instructor’s Name/Department Signature Date
Signature of Researcher(s)
Date

Hopefully
Yes

No
Is this project being carried out by an undergraduate student for course credit?

Yes

No
Is this project part of your own program of research and/or are you planning on using this data in your own research, and/or are you planning to co-author findings from this study? *If so, the University REB must review and approve this project.
My own program

1. Applicant Information

Name
Thea Wurtele
Department/Faculty
WLU ID No.
Global Studies
130375120
E-mail Address
Phone
Wurt5120@wlu.ca
289-8282515

Faculty Research

Student Research (must complete supervisor information below)

PhD Program

Master’s Program
X

Undergraduate Program

Other (please specify)

Supervisor (for student applications) Thesis Supervisor or Course Professor (if applicable)
Department/Faculty

E-mail Address Thesis Research/MRP
Phone

Course Assignment, Course number (please specify)

NOTE: Your supervisor/instructor must read and sign the last page of this form before approval will be granted. The signed form must be submitted to the REB for all student reviews.
Co-Applicant(s) (if applicable) (box will expand)
2. Project Information
Name
WLU ID No.
(Required for Students)
E-mail Address
Thea Wurtele
130375120
Wurt5120@wlu.ca
Full Title of Research Project
Analyzing Male Depression in Canadian University Students
Proposed Start Date of Project
Proposed Completion Date of Project
December 1st, 2014
Sept 20, 2015