Targeted Foundation For Application

Institutional Review Board Compliance

Does this project involve human subjects?

Does this project involve live vertebrate animals?

Does this project involve radiation and/or radioactive materials?

Does this project involve biohazards?

Does this project involve institutional cost share/in-kind contribution?

Faculty Member Information

Faculty Member's Name


Conflict Of Interest

Is there a conflict of interest between the institution and/or yourself with the organization providing funding for this proposed project?


I certify that my answers are true and complete to the best of my knowledge. I understand that if information related to this proposed project or my conflict of interest (COI) should change, it is my responsibility to notify the WVU Foundation in a written notification (email) within thirty (30) calendar days of the change.