WVU School of Dentistry

Project Protocol Form

Community Dentistry 752

Please complete this form and return to the Department of Dental Practice and Rural Health

Name:
Partner's Name:
Project Title:
Objectives: (What do you plan to accomplish with your project? Briefly, list your objectives in seperate, numbered statements)
Protocol: (How do you plan to accomplish your objectives? Be brief, but complete)
IRB Necessary?	Yes Exempt Expedited Quorum No (See Debbie Anderson)
First Term Status: (What do you plan to have completed by the end of the current semester?)
Expected Date of Project Completion:
Award(s) You are Trying for:
Advisor Preference:

*Each individual student is required to submit a Project Protocol. Do not assume since a partner or other member(s) of a group have submitted a Project Protocol that you are exempt. Failure to submit an individual Project Protocol will affect your first-semester grade.