Brockport Research Foundation Participant Payment Approval Form

Name Name First Last
Email
Upload signed approval forms - FSA Approval Form and IRB Approval Form
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)
Title of Study
Please describe what the funds will be used for:
Please check the account types used for this request:

Please check the account types used for this request: Start-up FSA Departmental account Other
List the account numbers and amount(s) to be used in this request:
Indicate which approved participant survey system will be utilized for this request:

Indicate which approved participant survey system will be utilized for this request: CloudResearch - RF pays vendor directly. Prolific - RF pays vendor directly. PLEASE NOTE: Prolific charges an 1% international fee and this should be factored into the total requested funds. Qualtrics - RF pays vendor directly.

I acknowledge funds will expire 12 months from the date of approval.

I acknowledge if the total expense exceeds the total funds listed above, I am responsible to coordinate which account should be charged the difference.