Submit a research request

Application to Conduct Research in Ames Community School District

Please answer all questions. You may upload materials here, email them, or send them by U.S. mail to: Jeff Hawkins, Assistant Superintendent, Ames Community Schools, 2005 24th St., Ames, IA 50010

Date*
MM slash DD slash YYYY
Name of principal researcher*
First Last
Address of principal researcher*
Street Address Address Line 2 City State ZIP Code
Name of parent institution*
Phone number for principal researcher*
Email for principal researcher*
List names of all additional researchers if applicable
List grade level(s) and numbers of students involved*
List all forms of data you will collect, such as interviews, questionnaires, video recordings*
Provide date of first contact with students*
MM slash DD slash YYYY
Provide date of final contact with students*
MM slash DD slash YYYY
Will you be requesting documents such as student records for this project*
- Yes
- No
If you will be requesting documents, please list their types
Provide date you will destroy all original data collection materials*
MM slash DD slash YYYY
Please check that principal researcher understands and will comply with all the requirements of this research application.*
- I have read and understand Policy 602.4
- I am submitting a copy of my parent institution's Institutional Review Board form
- I am submitting copies of all measurement instruments that will be used in this research
- I am submitting copies of all necessary consent forms
- I am submitting a 1-2 page proposal and abstract that includes the research timeline
- As principal researcher I hereby agree to follow the guidelines for conducting research in the Ames Community School District and to ensure all other researchers comply as well
If you did not confirm that you are complying with any of the requirements for this research application, please explain.
You may upload any of the required documents.
Drop files here or

Max. file size: 64 MB.
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