Participant Pool Participation Log

 Name: __________________________

 Instructions: In order to keep track of your participation pool credits, provide the information for each study below and keep this log in a safe place. If your instructor has any questions about your participation credits, this documentation should help you answer them.

Date

 

Study #

 

Study Title

 

Investigator(s)

 

Participation

Credits

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Staple

Certification of Research Participation forms

here