Special Research Exception Request Form

Special research exception requests should be submitted by the primary point of contact. Once received, the Office of Research and Innovation (ORI) will forward the submission to the appropriate college associate dean for research for approval at the college level. After college approval is received, final review and notification will be sent by ORI.

Name*

First Name Last Name

Email*

Total Number of Personnel on Project.*

List personnel on the project and identify as faculty, staff, graduate student, etc.*

College or Division*

Department or Unit*

Building Location*

Please spell out the building name (no acronyms).

Room Number*

Use "field" for field work.

Project Title*

Brief Description of Project.*

Critical nature of research being conducted.*

Justification for continuing this research during COVID-19 restrictions.*

Start Date*

Expected End Date*

Do you have an existing agreement that will cover this work or do you need to put one in place?*

Detailed schedule of work to be done*

Include days of the week and hours or specific dates if that is more fitting.

Sanitation and Social Distancing Plan for personnel showing compliance with CDC guidelines.*

Do you have all the necessary equipment and materials to complete this work, or do you need to procure them?*