ࡱ> 796y bjbj 8"{{ 5lll84"!    $#%X l"  L8l  QT@e=o<^i  0"!q,&&&l ("!& : Form C Eastern Illinois University Financial Conflict of Interest Management Plan 1. Investigator Name: ________________________________________________________________________ 2. PHS Project Title: __________________________________________________________________________ 3. Disclosed Financial Conflict of Interest: ________________________________________________________ 4. Role and principal duties of the Investigator in the research project: 5. Conditions of the management plan include (check all that apply) ( Reduce ( Manage ( Eliminate 6. List and describe all detailed actions that will be taken in order to accomplish the conditions of the management plan. Describe how each action will contribute to the objectivity of the research. 7. List and describe all detailed actions that will be taken in order to accomplish the conditions of the management plan. Describe how each action will contribute to the objectivity of the research. 8. List and describe all actions that will be taken in order to monitor this management plan. Include dates by which actions are to be accomplished. 9. Assurances: We agree to the management plan as it is described on this form. Signature:___________________________________________ Date:_________________________ Investigator Signature:___________________________________________ Date:_________________________ Institutional Official     FCOI File No.: _________ Date received: __________  %/STU   0 < F G     ! " ¶ztkz_VzVh4>h4>CJ jch4>h4>CJhvhh+ECJ h+ECJ h4>CJ h CJ h0KCJ hsCJ h VCJ h*ECJ hR|CJh~x5CJaJh4>5CJaJh#/h5CJaJh#/hR|5CJaJhsOJQJh4>OJQJh#/hR|OJQJ,jh#/ha|CJOJQJUmHnHu! %TU   .>$d%d&d'dNOPQ^`>gd+E >^`>gd+E ^`gd4> gd*E`gd*Egd*Egd+$a$gd)]$a$gd+gd+   B C D       gdZ $7$8$H$a$gdZ$ 7$8$H$a$gd]Q ^`gdQ! gd4> >^`>gd.>$d%d&d'dNOPQ^`>gd+E" # % & * 2 3 6 ? B G Q }    # j L [ ] ~x~xpjh3U h]QCJ hZCJhh7hZCJaJhyTshyTsCJaJh0KhyTsCJaJh/CJaJhyTsCJaJh0Kh0KCJaJh0KCJaJhh7h3CJaJh]Qh]Q5CJaJ hQ!CJ jch4>h4>CJh4>h4>CJ h4>CJ*             ! ^`gd0K ^`gdXhgdZ gdyTsgdZ ^`gd0K L [ \ ]  gd3gdR|gd+`gdyTsgdZ^gdyTsgdyTs  h]QCJhR|hjh3Uh3 gd+6&P1h:p / =!8"8#8$%h ^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ R|NormalCJ_HaJmH sH tH D@D R| Heading 2$@&5OJQJaJV@V R| Heading 3$<@&56OJQJ\^JaJDA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4 4 R|Footer  !.). "V Page NumberH@H i Balloon TextCJOJQJ^JaJ6U`!6 Q Hyperlink >*B*phFV`1F QFollowedHyperlink >*B* ph4B4  Header  !DoQD *EHeading 2 Char5CJOJQJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 447" "     @ @H 0(  (  V  # "? B S  ?<0)Zt _Toc59601727 fh 33""j  ""j   Bi~~ֲ^`OJPJQJ^Jo(^`OJQJ^Jo(hHop^p`OJQJo(hH@ ^@ `OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHoP^P`OJQJo(hHBi~~         /]Qo^*{ U1<uKj& 5 H7 h<s >\_7KPJ Q!"C"/a%A&q&L*L+r+",.,8,I.#/!1366h78H48 8p; <v=>4>ADB3D?D]DzDE+E,FfFoF5HJ0KML M06MsM9;NPlXP1QQNQ=PQ#UnVlXWw7X=X[VS[i\)]A_l_y_8`m`QWacaratdqekfWhgGhXhgi+j7jel{Xl*]nann9pp~pyTsD+vSvs}vo9wZwx~x;*yZzG{lP|Q}{x}D$3BmZa|SKJB kj4"}Z'-IYI#o2r s5X}=4 Ksy3oG VKD##^(vB2F6Wv3*E+2O@ooZ[ H<]]$ vhnkz9C"VhRPz$73 jPN^R|?j*DemnXxu3*!il|}]<is}y"v8LKY q*<y@@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial9 Webdings5. .[`)Tahoma?= *Cx Courier New;WingdingsA$BCambria Math"h3 3 3   !88243qHP ?R|2!xx Form Acscas3 Green, Brad Oh+'0L    ,4<DForm Acscas3 Normal.dotm Green, Brad2Microsoft Office Word@@m@ o@ o՜.+,0 hp  Eastern Illinois University  Form A Title  !"#$%'()*+,-/0123458Root Entry FYo:1Table &WordDocument8"SummaryInformation(&DocumentSummaryInformation8.CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q