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Request to Conduct Research in Lake County Schools
Please note that copies of the following documents will be required prior to approval:
Official letter from university/agency that includes request to conduct research in Lake County
Approved Research Proposal
IRB approved from the university/agency
Copy of consent form that will be used to obtain parent permission
Copy of survey instrument (if applicable)
Researcher's credentials and qualifications (resume is sufficient)
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Name:
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Your answer
Email:
Your answer
Agency or University:
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Your answer
Do you have an official letter from the university or agency requesting to conduct research in Lake County?
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Yes
No
Do you have a copy of approved Research Proposal?
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Yes
No
Do you have a copy of IRB approval from the university/agency?
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Yes
No
What is the name and contact information for the lead person conducting the research (and doctoral advisor if relevant)?
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Your answer
What is the topic of the research study?
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Your answer
Provide a detailed description of the study.
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Your answer
What is the information you are requesting?
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Your answer
What are the subjects of your study?
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Your answer
What is the time line for your study?
Your answer
Describe the research method(s) and procedures that will be used (include specific data being requested).
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Your answer
What are the risks to subjects?
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Your answer
What are the benefits to subjects?
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Your answer
What is the risk/benefit ratio?
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Your answer
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