You are on page 1of 3

COLLABORATIVE INSTITUTIONAL TRAINING INITIATIVE (CITI PROGRAM)

COURSEWORK REQUIREMENTS REPORT*


* NOTE: Scores on this Requirements Report reflect quiz completions at the time all requirements for the course were met. See list below for details.
See separate Transcript Report for more recent quiz scores, including those on optional (supplemental) course elements.

Name:
Email:
Institution Affiliation:
Institution Unit:
Phone:

Lisa Gonzalez (ID: XXXX)


lisagharibgonzalez@gmail.com
Arizona State University (ID: XXX)
Nutrition
XXX-XXX-XXXX

Curriculum Group:
Human Research
Course Learner Group: IRB - Biomedical Research (Group 1)
Stage:
Stage 1 - Basic Course
Report ID:
Completion Date:
Expiration Date:
Minimum Passing:
Reported Score*:

XXXXXXX
11/06/2015
11/05/2019
80
94

REQUIRED AND ELECTIVE MODULES ONLY


Belmont Report and CITI Course Introduction (ID: XXX)
History and Ethics of Human Subjects Research (ID: XXX)
Basic Institutional Review Board (IRB) Regulations and Review Process (ID: X)
Informed Consent (ID: X)
Records-Based Research (ID: X)
Genetic Research in Human Populations (ID: X)
International Studies (ID: XXX)
FDA-Regulated Research (ID: XX)
Research and HIPAA Privacy Protections (ID: XX)
Vulnerable Subjects - Research Involving Workers/Employees (ID: XXX)
Conflicts of Interest in Research Involving Human Subjects (ID: XXX)
Arizona State University (ID: XXX)

DATE COMPLETED
10/24/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15
11/06/15

SCORE
3/3 (100%)
7/7 (100%)
5/5 (100%)
4/5 (80%)
3/3 (100%)
5/5 (100%)
3/3 (100%)
5/5 (100%)
5/5 (100%)
3/4 (75%)
4/5 (80%)
No Quiz

For this Report to be valid, the learner identified above must have had a valid affiliation with the CITI Program subscribing institution
identified above or have been a paid Independent Learner.
CITI Program
Email: Phone: 305-243-7970
Web:

COLLABORATIVE INSTITUTIONAL TRAINING INITIATIVE (CITI PROGRAM)


COURSEWORK REQUIREMENTS REPORT*

* NOTE: Scores on this Requirements Report reflect quiz completions at the time all requirements for the course were met. See list below for details.
See separate Transcript Report for more recent quiz scores, including those on optional (supplemental) course elements.

Name:
Email:
Institution Affiliation:
Institution Unit:
Phone:

Lisa Gonzalez (ID: XXXX)


lisagharibgonzalez@gmail.com
Arizona State University (ID: XXX)
Nutrition
XXX-XXX-XXXX

Curriculum Group:
Human Research
Course Learner Group: IRB Social & Behavioral Research (Group 2)
Stage:
Stage 1 - Basic Course
Report ID:
Completion Date:
Expiration Date:
Minimum Passing:
Reported Score*:

XXXXXXX
01/18/2016
01/17/2020
80
90

REQUIRED AND ELECTIVE MODULES ONLY


Belmont Report and CITI Course Introduction (ID: XXX)
History and Ethical Principles - SBE (ID: XXX)
Defining Research with Human Subjects - SBE (ID: XXX)
The Federal Regulations - SBE (ID: XXX)
Assessing Risk - SBE (ID: XXX)
Informed Consent - SBE (ID: XXX)
Privacy and Confidentiality - SBE (ID: XXX)
Research in Public Elementary and Secondary Schools - SBE (ID: XXX)
Internet-Based Research - SBE (ID: XXX)
Vulnerable Subjects - Research Involving Workers/Employees (ID: XXX)
Conflicts of Interest in Research Involving Human Subjects (ID: XXX)
Arizona State University (ID: XXX)

DATE COMPLETED
10/24/15
01/15/16
01/15/16
01/15/16
01/15/16
01/15/16
01/18/16
01/18/16
01/18/16
11/06/15
11/06/15
11/06/15

SCORE
3/3 (100%)
5/5 (100%)
5/5 (100%)
4/5 (80%)
4/5 (80%)
5/5 (100%)
5/5 (100%)
5/5 (100%)
4/5 (80%)
3/4 (75%)
4/5 (80%)
No Quiz

For this Report to be valid, the learner identified above must have had a valid affiliation with the CITI Program subscribing institution
identified above or have been a paid Independent Learner.
CITI Program
Email: Phone: 305-243-7970
Web:

COLLABORATIVE INSTITUTIONAL TRAINING INITIATIVE (CITI PROGRAM)


COURSEWORK REQUIREMENTS REPORT*

* NOTE: Scores on this Requirements Report reflect quiz completions at the time all requirements for the course were met. See list below for details.
See separate Transcript Report for more recent quiz scores, including those on optional (supplemental) course elements.

Name:
Email:
Institution Affiliation:
Institution Unit:
Phone:

Lisa Gonzalez (ID: XXXX)


lisagharibgonzalez@gmail.com
Arizona State University (ID: XXX)
Nutrition
XXX-XXX-XXXX

Curriculum Group:
Responsible Conduct of Research
Course Learner Group: RCR Undergraduate Responsible Conduct of Research
Stage:
Stage 1 - Stage 1
Report ID:
Completion Date:
Expiration Date:
Minimum Passing:
Reported Score*:

XXXXXXX
11/06/2015
N/A 80
100

REQUIRED AND ELECTIVE MODULES ONLY


Responsible Conduct of Research Basics (ID: XXX)
Arizona State University (ID: XXX)

DATE COMPLETED
11/06/15
11/06/15

SCORE
10/10 (100%)
No Quiz

For this Report to be valid, the learner identified above must have had a valid affiliation with the CITI Program subscribing institution
identified above or have been a paid Independent Learner.
CITI Program
Email: Phone: 305-243-7970
Web:

You might also like