.: NUNAVUT RESEARCH INSTITUTE :.

SECTION 1: APPLICANT INFORMATION

1. Project Title

2.Applicant's full name and mailing address:  
 Phone:
 Fax:
 Email:

3.Field Supervisor's name and mailing address:  
 Phone:
 Fax:
 Email:

4.Other Personnel list (name, position, affiliation)  
  
  
  

SECTION 2: AUTHORIZATION NEEDED

1. Indicate all authorizations associated with the project proposal:
    Ethics Review - by affiliated institution
    
    
    

2a. Have you applied for all authorizations required to conduct the project proposal activities?
  YES  NO

2b. If so, what is the status of the application?

*If Ethical approval has been granted please attach documentation. If the proposed project is still under ethical review please e-mail the approval when granted to (Mosha Cote) Mosha.Cote@arcticcollege.ca