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CONTACT US

Sponsored Program Proposals, & Research Compliance
(209) 932-3243
osp@pacific.edu
Knoles Hall, 2nd Floor, Room 206

Lisa Jones
Grant Program Specialist
Christine Fluter-Brown
Director of Research and Compliance

CONTACT US

Human Subjects (IRB)
(209) 946-3903
irb@pacific.edu
Knoles Hall, 2nd Floor, Room 204

Valerie Andeola
IRB Administrator
Gilbert Ojeda
IRB Program Specialist

Policies and Forms

 

FORMS

   

Routing Form for Grants/Contracts (2017)

Word

  PDF

Proposal Budget Template (2016)

Excel

 

General Education Provisions Act (GEPA) Statement for Grants (2015)

 Word

 

Internal Funding

IRB Forms

Human Subjects Investigators Manual (2017)

 

 PDF

Human Subject Research Worksheet (2017) [Required with all research applications]

 Word

IRB Research Application (2017)

Word

 

Exempt Review Status Form (2017) [Required in supplement with all research applications involving surveys]

 Word

Existing Information/Biospecimen Research Application Form (2017)

 Word

        Data Use Agreement Form (Pacific is the data recipient) (2017)   Word

Data Use Agreement Form (Pacific is the data provider) (2017)

 Word

Informed Consent Checklist (2017)

 Word

SAMPLE Consent Forms (2017)

      Broad Consent Checklist and Sample Form

 Word

      Sample Long Form

 Word
              Sample Short Form  Word
              Sample Short Form Summary of the Oral Presentation  Word
              Sample Children's Assent  Word
              Sample Parental Consent  Word
              Sample Consent for Non-Sensitive Questionnaires  Word

Protocol Revision Form (2017)

Word

 

Active Protocol Status Report (2017)

Word

 

Cooperative Agreement (2017)

Word

 

External Investigators Agreement Form (2017)

 Word

IRB Authorization Agreement Form (2017)

 Word

HIPAA Questionnaire (2017)

Word

 

HIPPA Authorization Form (2017)

 Word

Noncompliance Form (2017)

Word

 

Adverse Event/Unanticipated Problem Reporting Form (2017)

 Word

Radiation Safety Forms

Radioactive Materials Purchase Endorsement (2014)

Word

 

Radioactive Materials Survey (2014)

Excel

 

Radioactive Material Usage/Inventory (2010)

Excel

adobe pdf PDF

Inspection and Survey Checklist (2010)

Excel

adobe pdf PDF

 

POLICIES FOR ALL CAMPUSES (Stockton, San Francisco, Sacramento)

Conflict of Interest
 Financial Conflict of Interest (FCOI)
NIH FCOI Training Page Link
NIH FCOI Public Disclosure Page Link

  PHS Financial Conflict of Interest (FCOI) (2012) All Investigators applying for funds from NIH or other PHS agencies

adobe pdf Limited Submission Nomination Procedures (2013)

Pacific Export Controls Policy (2012)

Gift vs. Grant Policy (2002) 

Signature Authority Policy

adobe pdf Guidelines - Transffering Grants (2008)

Intellectual Policy (2011)
(also see Links page for information on patenting)

Invention and Provisional Patent Instructions (2012)

Patent Disclosure Form (2015) 

adobe pdf Policy on Integrity and Responsible Conduct in Research (RCR) and Scholarship (University Conduct) (2002)
RCR Training
RCR Training for Grad/Postdoc

  Residual Fund Policy (2013)
  Whistleblower Protections for Employees on Federal Grants (2013) 
  University of the Pacific Policy for Compliance with NIH Financial Conflict of Interest Regulations PDF (2012)
  Disclosure Form PDF (2016) 

Current Unit Intellectual Property Protocols:

adobe pdf Engineering (2003)

adobe pdf Library (2003)

adobe pdf College of the Pacific (2003)

adobe pdf Education (2008)

adobe pdf McGeorge School of Law (2008)

Current Federally Negotiated F&A Rate
Current OMB Single Audit Document

Additional research resource links