ࡱ> 9;8 bjbj n K :::::$^^^P,^&   F!F!F!o&q&q&q&q&q&q&$(+p&:F!$!$!"F!F!&::   &"""F!F: : o&"F!o&""$% +H!R$[&&0&$,,!,%%J,:g%F!F!"F!F!F!F!F!&&l"F!F!F!&F!F!F!F!,F!F!F!F!F!F!F!F!F! :  Approval to Conduct Research at an External Site {Community Research Partner/Institution Name} {Community Research Partner/Institution Contact Information} {911 IRB Protocol Number} {Date} Dear Teachers College IRB, Based on my review of the proposed research by {primary investigators name, and faculty supervisor if applicable}, I give permission for him/her/them to conduct the study entitled {study title} within {name of research location}. As part of this study, I authorize the researcher(s) to {general descriptions of researchers activities at partner site, e.g., specific recruitment, data collection, and results dissemination activities}. Individuals participation will be voluntary and at their own discretion. We understand that our organizations responsibilities include: {insert descriptions of the following, as applicable: personnel, rooms, resources, and supervision that the partner will provide}. We reserve the right to withdraw from the study at any time if our circumstances change. We understand that the research will include {insert brief description of the interaction with human participants at the partner site, e.g., typical practice, pre-tests, and post-tests.}. This authorization covers the time period of {_____ to ______}. I confirm that I am authorized to approve research in this setting. I understand that the data collected will remain entirely confidential and may not be provided to anyone outside of the research team without permission from the Teachers College IRB. Sincerely, {Authorization Official signature} {Contact Information}     TEACHERS COLLEGE COLUMBIA UNIVERSITY 525 West 120th St. New York, NY 10027 212-678-3000 |  HYPERLINK "http://www.tc.columbia.edu" www.tc.columbia.edu 1234NZ_`a  ɿsh`XMh/h!B*phh62B*phhNB*phhwhcB*ph *hwhcB*ph *hchcB*ph *hcB*phhcB*phhwhZHB*phh!B*ph *hwhZHB*ph *h!B*ph *hwB*ph hNhwCJOJQJ^JaJhAJCJOJQJ^JaJhV?CJOJQJ^JaJ23a  E F gdZH d7$8$H$gdZH d7$8$@&H$gdZH@&gdN % ) O P R h n o t u F O l ! 鴧ߚԅ}skc} *hwhZH *hwhLi *h/B*phh/B*phh/hZHB*ph *hNZB*ph *hwhZHB*ph *hNhNB*ph *hNh!B*phhwhZHB*phh!B*phh/h!B*ph *h!B*ph *h!h!B*ph *hNB*ph"! U W  , - Ƚ}vnc[Phwh/B*phhZHB*phhwh$>eB*phhNZB*ph h/hZH *hwhZH *hw h!hZH *h! *hN *h!hZH *h!h! h/h! hwhZHh!hwhZHB*phh/hZHB*phh/h!B*ph *hwhZHB*phh!B*ph *h/h!B*ph23IJKMNPQSTVWi}$d8!&#$+D0$a$gdV?$d!&#$+D0$a$gdV?$d<!&#$+D0$a$gdV?gdV? d7$8$H$@&gd/ d7$8$H$gdZH&1234GHIJKLNOQRTUWXi}ʿ|gVC%h1bhV?@B* CJOJQJphJ!h4ohV?@.B* OJQJphJ(h hV?5@<B* OJQJaJphJjhV?UmHnHuh0pjh0pU,h7,4hSs'>*B*CJOJQJ^JaJph#h7,4h3hB>*CJOJQJ^JaJhwhZHB*phh/B*ph *hwh/B*ph *hZHB*ph *hwhZHB*ph *h/B*phȳȳȏp,h7,4hSs'>*B*CJOJQJ^JaJphh0phV?%hKhV?@B* CJOJQJphJ hqJhV?0J@CJOJQJ(jhV?@B* CJOJQJUphJhV?@B* CJOJQJphJ%h1bhV?@B* CJOJQJphJ(h1bhV?@B* CJH*OJQJphJ d7$8$H$$d8!&#$+D0$a$gdV?21h:p6\T/ =!"#$% 8 001h:pV?/ =!"#$% ^ 02 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH 8`8 V? Heading 2$@&aJDA`D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 6U`6 Hyperlink >*B*ph`>@` Title$d7$8$H$a$#5B*CJOJQJ\^JaJphZY@Z h Document Map-D M CJOJQJ^JaJ8^@"8 w0 Normal (Web)PJB'`1B wComment ReferenceCJaJ<@B< w Comment TextCJaJ:Q: wComment Text Char@j@AB@ wComment Subject5\FoqF wComment Subject Char5\H@H w Balloon TextCJOJQJ^JaJNoN wBalloon Text CharCJOJQJ^JaJ4@4 V?Header  H$6/6 V? Header CharCJaJ4 @4 V?Footer  H$6/6 V? Footer CharCJaJ8/8 V?Heading 2 CharCJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] - -4   !   gX@ @, (  B @ lJg ??*"Straight Connector 5C"8 PK!8[Content_Types].xmlAN0EH%N@%邴K@`dOdlyLhoDX3'AL:*/@X*eRp208J妾)G,R}Q)=HiҺ0BL):T뢸WQDY;d]6O&8* VCLj"󃒝 yJ.;[wIC_ :{IOA !>Ø4 p;fɑ3׶Vc.ӵn(&poPK!8! _rels/.relsj0 }qN/k؊c[F232zQLZ%R6zPT]( LJ[ۑ̱j,Z˫fLV:*f"N.]m@= 7LuP[i?T;GI4Ew=}3b9`5YCƵkρؖ9#ۄo~e?zrPK!{Ndrs/e2oDoc.xmlT0W?Xg@B ZX!mV=!V; U.KU-HS?wmJG iqmL.j}'[*`!BKE:@o? IUJTk]x[UijcfW~=I5+.4hp"bA5PReU0xSͶ&-u8d[|=nb @F ʤ T(:uNa{&6VZĶ}Oj"}> &vYr0҉vT*6т0tDO090nk8rMIjQlnDe`9VC6;-q|,~-9+ݦ~q:)ĕ+)y))1΅ţΜ=#Nnt5 f4F^4^VrEd WUߖh5+K*,׫LrNN= {t$O$^4qμeN&I=oz>d)-+y0TmC%dzQ!K?JÈ=VQ)i~0S;ZY^OۚHl0@o p|Ե6t)EK0[߷,uJ{e1_?PK! j drs/downrev.xmlLN0DHHܨAiTP Ԗ{I"b;6.'8hMLC笀Y rM,DiE' ./JYhw[?n@3hB/D6\TC^$>e4fKh%p4sXV~xX4AJ2:hUsz/6l,,c0pgw:wD. !V?ZHNZ1>NakKM@h@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial7.@CalibriA. Gill Sans MTMAdobe Garamond Pro5. .[`)TahomaA$BCambria Math"h* x* x[ [ !r4HH3qHP ?%p*!xx Dear Ms lendicottColumbia University Oh+'0Dx    $,4<Dear Ms lendicott Normal.dotmColumbia University2Microsoft Office Word@@