IRB Application Appendix G

CIC Application Procedure


Application Process

•   Investigators who wish to access CIC services initiate the process by contacting the CIC Director, Jay L. Goldstein, MD, by e-mail (jlgoldst@uic.edu) or telephone (312-996-1926). When you contact him, please be prepared to provide a brief protocol summary and itemization of CIC services you anticipate using. Protocol evaluations are based on the study 's scientific merit and appropriateness for implementation in the CIC.

•   The CIC staff is available to consult with investigators as they design their study and complete the application. This consultation is encouraged.

•   Contact with Dr. Goldstein and Julie Hoff, PhD, RN, CIC Director of Clinical Research Operations, should be made prior to submission of the protocol to the IRB. The CIC Application must be submitted electronically (ccts_crc@uic.edu)

- If a protocol is already IRB approved, the investigator should submit the entire approved IRB    application along with Appendix G requesting CIC use to Julie Hoff, PhD, RN.

•   Documentation of IRB approval is required before a study is initiated in the CIC. As soon as IRB approval is provided, a copy of the signed IRB approval letter and stamped consents should be submitted to the CIC.


Application Forms


Please follow these steps to complete the forms carefully.

Step 1: Review the Application Instructions. Please click the appropriate icon below for the Application instructions. These are Word documents.

DAC formApplication instructions


DAC formRisk assessment and management Instructions


Step 2: Download the CIC Application and complete the application. Please click the icon below for the Word document.


DAC formCIC Application


Radio Active Materials Policy: Please click the icon below to download the CIC's radio active material policy.


DAC formRadio active material policy


If you have any questions, please call or email Irene Ziaya , Investigator Interface Coordinator at 312-413-7316 / iziaya1@uic.edu