Clinical Research Center: Application for CRC Use

All studies carried out in the CRC must be approved by the Penn State Health Milton S. Hershey Medical Center Human Subjects Protection Office (HSPO/IRB) and the CRC Advisory Committee. 

The CRC Advisory Committee meets the first Wednesday of each month. Complete applications must be received by the fifteenth of the month to be included on the next month’s agenda.
Principal Investigator Information





Project Information




Statistical information should include the method used for the sample size calculations and values for the necessary parameters (i.e. effect size, standard deviation, power), as well as rationale for the choice of sample size parameters (i.e. literature, preliminary data).

Please provide information on the gender/ethnicity plan for your protocol. If gender/ethnicity plan is included in the protocol, on what page is it found?












Study Team Members
For each investigator and/or coordinator who will directly supervise the research and respond to patient’s problems, provide all information below. To add another team member, click "Add another team member."





Visit Information










Required Files




Your submission of this form confirms that you are the Principal Investigator and that you have reviewed all material included herein.