RESEARCH/EVALUATION APPLICATION FORM
Please read the Guidelines carefully before completing thisform. To fill in the form, click in the grey boxes and then type your responses. After completing the application, forward electronic copies of ALL information requested in the Application Process section of the Guidelines. (NOTE: Please submit your electronic application as ONE PDF document and include a paginated Table of Contents at the beginning of the document.
PART A: APPLICANT INFORMATION
Name:
Address:
Position held:
Institution:
e-mail:
Telephone:
Information about Co-investigators
Name:
Position held:
Department:
Institution:
e-mail:
Telephone:
Information about all Researchers and Assistants who will be entering our schools
*Please note that if at any time this information changes you are required to notify the Chair of OCREAC
Name:
Position held:
Department:
Institution:
e-mail:
Telephone:
PART B: PROJECT DESCRIPTION
1. Title of proposed research/evaluation:
2. Nature of research/evaluation (check where appropriate):
Undergraduate thesisMaster thesisDoctoral thesis
Faculty researchMinistryProgram Evaluation
Other (specify):
3. Date of your institution’s REB approval (if applicable):
4. If this is a funded project, who is it funded by?
5. Has this project been submitted to OCREAC (formerly OCRAC) on a previous occasion? (please check)
No
YesIfyes, please indicate the month/year:
PART C: BOARD(S) REQUIREMENTS
1. School board(s) in which you would like this project to take place?
Ottawa-Carleton District School Board
Ottawa Catholic School Board
Both
2. Please specify the number of each of the following required:
schools
students
grade or age levels
3. List the names of preferred schools (if any) to be involved in this study.(N.B. OCREAC approval does not
obligate any board, department,or school to participate in a study. The decision to participate in a research project
is always the prerogative of the school board and participating school principal and/or teacher.)
4. Please provide the reason(s) for your choice of preferred schools (e.g., random sample, specific population of
interest, currently participating in program, etc.)
5. Describe the involvement of teaching staff (please refer to Guidelines):
6. Describe the school resources required (please refer to Guidelines):
7. Length of time of school involvement (specify which months, the number of times you wish to be in the
school, and the length of each session):
Month/Year# of timesLength of each session
8. Preferred week/month to start:
9. Approximate finish date in school:
PART D: PROJECT SUMMARY
1. Research/Evaluation Question and Rationale (what is the purpose?):
2. Why is it necessary to conduct this study in the school system, as opposed to youth clubs or random
dwelling sampling?
3. Describe the educational relevance of the study:
4. Theoretical framework (must include references):
5. Data collection procedures (e.g., student/teacher surveys, interviews, observations etc.):
6. Proposed analyses:
7. Describe the benefit to students, staff and/or school board (e.g., through presentations, feedback, etc.):
8. Month and year the Research and Evaluation Advisory Committee can expect to receive your completed report
(See Guidelines # 22 and 23).
Month:Year:
PART E: RECRUITMENT POSTER
1. Research/Evaluation title:
2. Name of the Principal Investigator:
3. Contact information (Email, Phone):
4. Purpose of the study (1 sentence):
5. List of all participant groups (e.g., students, parents, staff)
6. Grades/ages of students requested:
7. Describe any inclusion and exclusion criteria:
8. List all activities participants will be doing (e.g., surveys, questionnaires, interviews, observation) and time duration for each activity:
9. Location of data collection (e.g. classroom, outside class, one-on-one):
10. Amount of time needed at school to complete data collection:
NOTE: Active parental consent is required for student participation.
PART F:RESEARCHER’S AGREEMENT
I hereby make application to conduct the research/evaluation project or survey described in the attached materials. I have read and understood the Guidelines for Non-Board-Initiated Research Projects and agree to the conditions under which research/evaluation requests are granted.
DateResearch Applicant's Signature
If the research applicant is a student, this form must be countersigned by the student's staff advisor to indicate that the advisor has approved the proposal and deemed it to be a valid and worthwhile research project.
DateFaculty Signature
The personal information on this form and the Curriculum Vitae is collected under the authority of the Education Act and will be used for the purpose of evaluating the research applicant's qualifications. If you wish to review this information, please contact the Chair of OCREAC.
Ottawa-Carleton Research and Evaluation Advisory Committee1