Ethics Consideration Form

From: (Name, Address for correspondence)	Title of Research Project:
Name & Address.	Title of Research.
Telephone:	Tel No.
Email:	Email No.
Student Number:	Student No.
Course:	Course.	Tutor’s Name, ITS Email, Telephone Number:
Year:	Year.	Tutor’s Details.
Proposed Data Collection Start Date:
Proposed Start Date.
Proposed Project End Date:
Proposed End Date.

Please give a brief summary of the purpose of the research, in non-technical language.
Click here to enter text.

Research Ethics and Data Protection Self-Assessment

Please consider your research proposal very carefully and check which sections are relevant in your case.

Answer all questions within each section that is relevant to your research (Tick with an X).

Section A	To be completed by those collecting primary data from human participants
Section B	To be completed only by those using secondary data If the data is collected by yourself (you are the primary researcher) you do not need to fill in this section.
Section C	To be completed by all researchers
Section D	Data Protection

Choose one of the below: Primary data collection: Gathering information/data directly for your research, example through measurement, observation and asking questions. ☐ Secondary data collection: Using raw data already published or collected by somebody else. ☐

Section A: To be completed by those collecting primary data from human participants.

Yes	No
A1	Will your participants be harmed in any way? If yes, explain	☐	☐
A2	Underline the correct category Are any of your research participants: children, people in institutions, persons with disability, mental health issues, victims of crime or abuse, substance abusers, or economically/educationally disadvantaged persons?	☐	☐
Do you have consent from the guardians or parents?	☐	☐
A3	Are the participants in your research identifiable in some way? Choosing “No” means that all the data from your research is anonymous or will be anonymised and that there is little risk that the data can be identifiable or linked to any of the participants.	☐	☐
A4	Underline the correct category Do you plan to collect personal data which reveals race or ethnic origin, political opinions, religious or philosophical beliefs, health, membership of a trade union, sex life, sexual orientation, genetic data,	☐	☐
A5	Do you plan to employ deliberate deception (actively providing false or misleading information or passively withholding information with the intention of misleading subjects about the research)? Note: Incomplete disclosure (providing general but accurate information to participants to avoid the potential for biased results) DOES NOT constitute deliberate deception in terms of this question.	☐	☐

A6	Do you need permission from a cooperating institution(s), school, hospital, organization, prison, or other relevant organization or another ethics committee?	☐	☐

Section B: To be completed by those using other researcher’s/ entity’s raw

data (if carrying out primary research, you do not complete this section).

Yes	No
B1	Has the secondary data you are going to use been published?	☐	☐
B2	Do you have written permission from the owner of the data allowing you to use the data for your research?	☐	☐
B3	Has the data you are going to use been collected from human participants?	☐	☐
B4	State the entity, person, or source, providing the secondary data:

Section C: To be completed by ALL researchers.

Yes	No
C1	Is there significant foreseeable risk that your research can cause physical or psychological harm to people or harm to the environment or be misused by terrorists or military organisations?	☐	☐
C2	Is there any conflict of interest - financial or non-financial - that could benefit you or a relative or friend or business associate?	☐	☐
C3	Is there a significant foreseeable risk to you as the principal investigator?	☐	☐
C4	Is there any aspect of the proposed research which might bring the ITS into disrepute?	☐	☐

Section D: Data Protection.

D1	The data will be kept by the researcher for (insert timeline)
D2	The applicant commits to: Storing data securely in password protected and encrypted mode ☐ Storing personal data separate from other data ☐

Note Before starting data collection, copies of relevant research materials, including research proposal, consent forms (if used), questionnaires, discussion guides, stimuli, and other related documents are required to be submitted to ethics.arpb@its.edu.mt

Principal Investigator	Tutor/Supervisor

Signature

Signature

Name:	Name:

Date:	Date:

To be completed by the Research Ethics Committee member

Ethics application is:

Accepted	Refused	Requires alterations

Required alterations:

Name/s and Surname/s of Research Ethics Committee member/s: Signature/s

Date: