Research Request Form

Research Request Form
Project Name
Requested By

First NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Proposed End Date

MonthDayYear
Date
Proposed Start Date

MonthDayYear
Date
Primary Researcher

First NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Project Description
Please check each of the following that applies to your project.

Other
Participant Details
Please provide details below if your research proposal involves interaction with a specific school, district team, or demographic group. Include the name of the school or team, the population you intend to work with, and the reason for this targeted engagement.
Check all participants that are involved in your study.

Other
Time of Study

Other
Amount of Time
Describe expected time commitments for students, staff, and parents Include total duration and frequency of participation (e.g., hours per session, sessions per week).
Project Impact or Application
Describe how you plan to use the results of this study. Some examples include: - as part of a class or academic assignment -as part of a thesis, dissertation, or doctoral research (include IRB approval in next question) - for professional or work-related use - for personal research or interest.
Current Approvals (current IRB approvals)
If NO approvals, please explain why.
Research Summary
Provide a brief summary of your research including key details such as your research question and data collection approach. Details will be uploaded in future questions.
Funding Information
If the project is being funded by an approved grant, please state the name of the grant and the grant approval number, if applicable.
Research Statement
Design and Methodology
Describe the research design, questions, scope, and significance. Specify participant numbers and roles, data collection, and analysis methods. Include confidentiality procedures and data disposal plans.
How does this research project benefit our district?
Upload Research Instruments

Include copies of surveys, assessments, or other tools used in the study
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Literature Review

Summarize relevant research.
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Consent Materials

Include copies of any letters or forms that will be sent to students, staff, parents, or community members.
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Approval Forms (IRB approval forms)

Attach any external approval forms.
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Curriculum Vitae

Attach any external approval forms.
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