Presenter Request – Institutional Review Board

IRB Presenter Request

Would You Like Someone From the IRB Staff to Present at Your Event?

Complete the request form below and the IRB will be in touch to schedule a speaker for your event or class.

To ensure our presentation is as helpful as possible for your group, please provide as much detail as you can about the topic(s) you would like us to focus on in our presentation.

NOTE: Requests are considered on a case-by-case basis and are dependent on our availability.

Video Library

Presenter Request

Event Liason Contact Information

Name *

Name

First

Last

Title

Department

Email *

Phone

Institutional Affiliation *

University of Utah

VASLCHSC

Primary Children's Hospital

OtherOther

Event Information

Name of Event/Course *

Event Description/Purpose of Event

Please provide the following information if known. If this information is negotiable or to be determined, please tell us in the comments section at the bottom of this form.

Date

Time

Event Location

How often do you need the IRB to give this presentation? *

Single presentation

Annual presentation

Fall and Spring semester presentation

Have we presented for your group before? *

Yes

Do you have a preferred speaker you'd like to request? *

Yes

Will there be audio/visual equipment available to display PowerPoint slides? *

Yes

What format would you like us to prepare for this presentation? *

In-Person Presentation

Panel Discussion

Roundtable Discussion

Facilitated Group Discussion

Virtual Presentation (via WebEx, Zoom, etc.)

Pre-recorded Video Presentation

OtherOther

Anticipated Audience *

Faculty

Staff

Graduate Students

Undergraduate Student

OtherOther

Approximate Number of Attendees Anticipated *

How much time is allotted for the IRB to present? *

30 minutes

60 minutes

90 minutes

OtherOther

What topics would you like the IRB to discuss during the presentation? *

History of IRBs

Overview of Regulations

FDA Regulations

HIPAA Regulations

OHRP/Common Rule Regulations

Investigational Drugs/Clinical Trials

Investigational Devices

How to Submit a New Study Application to the IRB

The IRB Internal Review Process

OtherOther

Do you need a written bio for the speaker? *

Yes

Do you plan to do any publicity for this event (either before or after), including through press releases, websites, blog posts, photos, or other means? *

Yes

Will there be the marketing, selling, or promoting of any products/services at this event? *

Yes

Are there any other comments or information you'd like to provide?

If you are human, leave this field blank.