Please provide the following information for your research project and attach documents as required.
Project Title:Principal Investigator
Name:
Academic or Employment Position:
Institution or Agency:
Contact Information (please include full mailing address and include a phone number and email address where you would like to be contacted):
Supervisor (if this is a student project or thesis)
Name:
Academic or Employment Position:
Institution or Agency:
Contact Information (please include full mailing address and include a phone number and email address where you would like to be contacted):
Nature of Research
University course or thesis College or University Faculty Research School Board Partner Research
Research for a community organization Other, please specify:
Agency funding research project, if applicable:
Project Details
Anticipated start date:
Anticipated end date:
Number of schools that will be involved. If applicable, please identify potential school sites.
# of Elementary schools: # of Junior High schools: # of High schools:
Research Overview
Purpose of project:
Brief description of project:
Measures: Please list all measures that will be used in this project and attach copies with your application (e.g., focus group or interview questions, surveys, and names of standardized assessments).
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Recruitment materials: Please list and attach to your application any recruitment advertisements or other materials used to obtain participants in your research.
Informed consent: Please attach copies of all information letters and consent forms
Confidentiality: Please describe how you will ensure the confidentiality and protect the identity of your participants during the course of your research and afterward.
Please explain how this research will benefit participants:
Communicating Results
Please describe your plans for debriefing participants and informing them of the results of your project:
Please describe your plans for publishing or presenting your research findings to the public:
Research Approval Agreement
I agree that:
- No HRSB students, parents, staff or schools will be identified in any publications or presentations resulting from this research.
- Confidentiality of participants will be maintained throughout all research activities and all individual identifiers will be destroyed after completion of the data analysis.
- No personal information will be used to contact participants after completion of the research.
- Information collected during this research will only be used in the manner indicated in this application.
- I will provide HRSB with copies of interim and final research reports and/ or publications (e.g., abstracts or executive summaries).
- I understand the guidelines and procedures for conducting research with HRSB and agree to all conditions.
Signature of Faculty Supervisor: Date:
Return this application by e-mail to or by mail/drop off to:
Program Department Research Committee
Halifax Regional School Board
33 Spectacle Lake Drive
Dartmouth, NS B3B 1X7
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