Women's E-Health Research Registry Application Page

First Name:   Last Name:   Email:     Name of Study   Purpose of Study     Does your study have UIC IRB approval for promotion on the Internet using the exact wording stated above?   Select Answer Yes No       If yes, what is the protocol number?         When does the IRB approval period expire? ( MM/DD/YYYY)       College Affiliation:     Select College Affiliation Applied Health Sciences Architecture & The Arts Business Administration Dentistry Education Engineering Graduate College Honors College Liberal Arts & Sciences Medicine Nursing Pharmacy Public Health Social Work Urban Planning & Public Affairs None of the Above