/ Professional Practice Committee
Request to Research – Formal Project

This form is to be completed by the principal researcher and returned to Autism SA with the ethics proposal, ethics approval, advertising material (pamphlets, letters, etc), and any research instruments to be used for this part of the research project (unpublished tests, interview script, survey software, etc) unless a valid, reliable, commercially available test is to be used, in which case only the answer sheets need to be submitted. Applications should be addressed to The Professional Practice Committee and emailed to or posted to Autism SA, PO Box 304, MARLESTONDC SA 5033.

By submitting your application to the Professional Practice Committee you are acknowledging acceptance of the following conditions should your project be approved:

  • Contact details for researchers and supervisors that are provided on this Request to Research form may be displayed on the Autism SA website and accessible by the public
  • Current and past research projects will be listed on the Autism SA website indefinitely
  • Autism SA requires one copy of the final report for inclusion in the Resource Centre
  • A brief summary reportand paragraph abstract of the outcomes and findings is required for distribution via the Autism SA website, Infomail and/or Autiser
  • Researchers may be requested by Autism SA to present their outcomes and findings at conferences and seminars hosted by Autism SA at no cost.

Any details provided via this form may be displayed to the public. Please do not include private residential addresses or telephone numbers.

Research Application

Researcher name
Phone number
Email address
Postal address
List of all supervisors
Institution(s)

Project details

Project name as it appears on your ethics application
Date ethics approval(s) received
Inclusion/Exclusion criteria
Target number of participants
What is the anticipated time commitment expected from participants
When will you be able to provide feedback (results, copy of thesis, etc.) to Autism SA?
In which timeframe will you be collecting the data?
Level of study / Bachelor Honours Masters PhD Post-Doctorate

Project Summary

The Professional Practice Committee reviews research applications to safeguard Autism SA’s clients. Please provide a project summary no longer than 250 words which clearly indicates the benefits of your research to the Autism Spectrum Disorder community, including how you expect Autism SA to assist you:

Risks

Are there any risks to participants?
What strategies will you use to mitigate the risk(s)?

Incentives for Participants

Will participants receive any incentives for being involved?

I have included the following to be sent to the Autism SA Professional Practice Committee:

Completed Request to Research form (this form)

Ethics proposal

Ethics approval

Copies of all advertising pamphlets, letters, etc

Copies of all research instruments

(interview scripts, survey questions,

answer sheets, software, etc)

Thank you for your application.

Autism Governance Form 19 – Request to Research Formal Page 1 of 2