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APPLICATION for RESEARCH at WOCCISD

Please complete the form below. Required fields marked *

Contact Information

First Name*

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Last Name*

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Email 1*

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Mobile Phone*

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Home Phone*

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Work Phone*

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University or Organization*

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University / Faculty Research Advisor Contact Information

University / Faculty Research Advisor First Name*

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University / Faculty Research Advisor Last Name*

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University / Organization Position*

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University / Faculty Research Advisor Email *

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University / Faculty Research Advisor Phone*

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Research Description

Has this study been approved by an Institutional Review Board?*

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Yes

Please submit current IRB (Institutional Review Board) Proposal and/or approved IRB document.*

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Choose a file or drag it here.

State the purpose of your study.*

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Describe the participants of your study.*

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State the approximate number of participants.*

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Describe the specific data you will be collecting from or about the participants.*

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If data includes exiting records (archival data), describe these records and explain how you will obtain the data; indicate NA if you are not using archival data. *

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If the data includes information gathered from surveys, interviews, questionnaires, observations, etc., describe these here or attach files.*

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Upload survey, interview, question files here (for above short answer question).*

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Choose a file or drag it here.

Describe your research design and data collection.*

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Describe any risks that participants face, including physical, psychological, social, legal, spiritual, and moral risks.*

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Describe safeguards in place to minimize risks and to address any harm that may come to participants while participating in the study. *

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Describe any incentives or compensation as payments that will be offered to potential participants. *

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If you have any assistants working with you, describe what access they will have to this data. *

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Describe how you will maintain confidentiality of data.*

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Which types of informed assents will you be using?*

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Parent / Guardian Consent

Informed Assent for Minor Participants

Teacher / Staff Consent

Fees must paid on-line ONLY through the Mustang Store on the District Website. The Request to Research fee is listed under the "District Fees" option.

Confirmation Email

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