Research Ethics Regional Program Application

Public Responsibility in Medicine and Research (PRIM&R) advances the highest ethical standards in the conduct of biomedical and behavioral research. We accomplish this mission through education, membership services, professional certification, and public policy initiatives.

PRIM&R invites eligible organizations to apply to co-host a PRIM&R Regional Program—in-person regional conferences focused on advancing ethical research practices across human subjects research, animal care and use, and research ethics at large.

PRIM&R Regional Programs are collaborative, co-developed educational events that reflect PRIM&R’s mission to advance the highest ethical standards in research and medicine. Events should be inclusive, accessible, and responsive to regional needs.

Please complete this application to be considered for hosting a PRIM&R Regional Program. If you have any questions or need assistance completing the application, please email us at membership@primr.org. More information about the program can be found here.

Thank you for your interest in conducting a PRIM&R Research Ethics Regional event.

1. Are you a resident of Canada, the European Union (EU), or the European Economic Area (EEA)? *This question is required.

2. In accordance with Canada's Anti-Spam Law and the General Data Protection Regulation, by checking yes, you are providing express consent for PRIM&R to collect the data you provide and to receive messages from PRIM&R regarding this program. You can withdraw your consent via email to cbatsford@primr.org. *This question is required.

2. Organization Information *This question is required.

Name of Organization *This question is required.

Organization Main Address *This question is required.

Primary Contact Name *This question is required.

Primary Contact Email Address *This question is required.

Primary Contact Title *This question is required.

How did you hear about PRIM&R Regional Research Ethics events?

3. If selected "other," please specifiy what type of organization you are representing. *This question is required.

3. Please provide PRIM&R with a general description of your organization, your top priorities, and your common functions. *This question is required.

4. Please describe your reason for seeking collaboration with PRIM&R and the anticipated benefit to the community that a Research Ethics Regional event will offer. *This question is required.

5. When is your institution available to host a Regional Research Ethics program? You may select more than one. *This question is required.

6. PRIM&R will provide financial support for costs associated with PRIM&R Regional Programs, but co-hosting organizations and other stakeholders will be responsible for partial costs as well. Specific financial responsibilities will be outlined by the steering committee during the planning process. Can your organization commit to a financial contribution, after discussion via steering commitee? *This question is required.

7. Please list any conditions or restrictions any co-sponsoring entities or organizations may impose on program development or execution. *This question is required.

Disclosure of conflict of interest:
Individuals involved in planning and implementing a PRIM&R Regional Research Ethics event are expected to avoid conflicts of interest that have the potential to: (i) directly and significantly affect PRIM&R's interests, (ii) compromise objectivity in carrying out their responsibilities to PRIM&R, or (iii) impact the integrity and quality of the services and products provided by PRIM&R. The term "conflict of interest" refers to situations in which financial or other personal considerations may directly and significantly affect an individual's professional judgment in exercising his or her duties. Not all conflicts of interest are impermissible, but individuals have a responsibility to examine, disclose, and manage any activity, commitment, or action, which might constitute a conflict of interest.

8. Please list any conflicts below. For more information on PRIM&R’s conflict of interest policy, please contact us. *This question is required.

9. Please feel free to add any information you deem necessary to understand when reviewing your application to co-host a Research Ethics Regional event.