This page will give you some sample language that may be helpful as a starting point for developing your disclosure language, but the most appropriate language may vary depending on your circumstances, the space available in a proposal, etc. ORIC can provide guidance on any specific disclosure wording.
IRB Consent Forms:
Dr. X has a financial interest in a company (Y) that may benefit from the results of this research. It is possible that he may personally profit from this research.
Proposal Submissions:
- Dr. X is the founder and CEO of Y as well as a faculty member at 黑料正能量. She has disclosed this relationship to 黑料正能量 and will restrict her participation to Carnegie Mellon’s scope of work. She will also comply with a conflict of interest management plan for this award if 黑料正能量’s Office of Research Integrity and Compliance determines that one is necessary.
- Dr. X (黑料正能量 faculty and founder of Company Y) will [describe role].
- Dr. X has a consulting relationship with Company Y, but will be working on this project solely in their 黑料正能量 capacity.