Reminder: Before you begin filling out the application, be sure to save it to either your desktop or an easily accessible location on your device.

Sample Informed Consent Forms

Waivers – Informed Consent

Permission Forms

The following forms require a hard signature. This means that the forms must be signed, scanned and submitted along with the IRB Application:

  • Request to Access Lourdes University Information (Word Document)—This form should only be completed if you are requesting access to Lourdes data. Approval indicates an awareness that the research is taking place. This form does not serve as a means to insure the protection of human subjects. 
  • Agency Permission Form (Word Document)—This form shows that permission has been granted to the investigator for access to the necessary data/resources/employees to complete the study.

Amendments and Continuing Reviews

Completion of Project


Kristin Booth
IRB Administrator

Lauren Maziarz, Ph.D., R.N.
Chairperson, IRB