Module Completion Form

To receive credit for online training, you must:

  1. Check each module you completed.
  2. Answer the question in the space provided next to each module you checked.
  3. Fill in the contact information below, and then click "Submit."

I certify that I have read through the Introduction, Case Study and Q & A for the online ethics module(s) selected below.

Module(s) Completed:
   Mentoring
Q.   What is the name of the senior faculty member Susan seeks advice from?
A.  
 
   Conflict of Interest
Q.   Identify one of the financial conflicts of interest that happens in this case.
A.  
 
   Responsible Authorship and Peer Review
Q.   Name one of the three criteria Dr. Jacobs based her listing of authors on.
A.  
 
   Research Misconduct
Q.   What form of research misconduct might Samantha have committed?
A.  
 
   Data Acquisition and Management
Q.   What area is the graduate student Renee working on?
A.  

Contact Information:
Name :  
Phone :
E-mail :
 
Date :
Division or Department :
P.I. :
 
By submitting this form you are certifying that all the information above is correct.
 


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