SayPro Research Ethics Form

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1.SayPro Project Information

Field	Details
Project Title:	Enter full project or study title
Principal Investigator:	Name of lead researcher/facilitator
Affiliation/Organization:	SayPro or partner organization
Contact Information:	Email, phone number
Project Start Date:	DD/MM/YYYY
Expected End Date:	DD/MM/YYYY

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2.SayPro Project Description

Provide a clear and concise summary of the research project including:

• Purpose and objectives
• Target population and sample size
• Research methods (surveys, interviews, observation, etc.)
• Geographic location(s) of data collection

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3.SayPro Ethical Considerations

3.1 Informed Consent

• How will informed consent be obtained? (Written, verbal, electronic)
• Will participants receive information sheets detailing the study purpose, risks, benefits, and confidentiality?
• How will consent be documented?
• For minors or vulnerable populations, specify guardian/parent consent procedures.

3.2 Confidentiality and Privacy

• Describe measures to protect participant identity and personal data (e.g., anonymization, secure storage).
• Who will have access to the data?
• How long will data be stored and what is the plan for secure disposal?

3.3 Potential Risks and Benefits

• Identify any physical, psychological, social, or legal risks to participants.
• Outline how risks will be minimized or managed.
• Describe any direct benefits to participants or communities.

3.4 Vulnerable Populations

• Indicate if the research involves vulnerable groups (e.g., children, people with disabilities).
• Describe additional safeguards to protect these participants.

3.5 Community Engagement and Approval

• Have community leaders, local authorities, or gatekeepers been consulted and provided approval?
• Attach any letters of support or approval.

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4.SayPro Data Management

Item	Description
Data Collection Methods:	Surveys, interviews, observations, etc.
Data Storage Location:	Physical/Cloud storage specifics
Data Access:	Who can access the data
Data Retention Period:	Specify duration (e.g., 5 years)
Data Disposal Method:	Describe how data will be securely destroyed

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5.SayPro Declarations

I, the undersigned, declare that:

• I have read and understood the ethical guidelines set by SayPro.
• The research described above will be conducted in accordance with these guidelines.
• I will ensure informed consent is obtained and documented appropriately.
• I will protect participants’ confidentiality and safety throughout the research.
• I will report any adverse events or ethical issues to the SayPro Ethics Committee promptly.
• Any changes to the project affecting ethical considerations will be submitted for review.

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Principal Investigator Name:
____________________________________________

Signature:
____________________________________________

Date:
____________________________________________

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6.SayPro SayPro Ethics Committee Review

Reviewer Name	Position	Signature	Date	Decision (Approved / Conditional / Not Approved)	Comments/Conditions

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7.SayPro Attachments Checklist

• ☐ Research Proposal
• ☐ Participant Information Sheet
• ☐ Consent Forms
• ☐ Letters of Community Approval
• ☐ Risk Assessment
• ☐ Other (please specify): ___________________________