Research Application

Lubbock Independent School District

Research Application

MAIN CONTACT INFORMATION:

First Name / Last Name / Organization
Department / Street Address / City | State | Zip Code
Phone Number: Work / Phone Number: Cell / Email Address
Lubbock ISD Employee / If Yes, Employee ID Number / Lubbock ISD’s School or Department

PROJECT DIRECTOR or SUPERVISING PROFESSOR CONTACT INFORMATION:

First Name / Last Name / Organization
Department / Street Address / City | State | Zip Code
Phone Number: Work / Phone Number: Cell / Phone Number: Fax

RESEARCH PROJECT INFORMATION:

Research Project Title:
Synopsis of Proposal:
Overall Project Purpose:
Classroom Project / Master Thesis / Doctorate / Other
IRB Approved / Please explain
Research Start Date / Research End Date / Final Report to LISD Date

RESEARCH TOPIC(S):

Please indicate up to three research topics that best represent the research focus of your project:

Academic Achievement / At-Risk Students / College Readiness / Curriculum or Instruction
Education policy or
Leadership / English language Learner (ELL) / Ethnic or Cultural Studies / Physical Health or Safety
Professional Development / Special Education / Student Social or Emotional Development / Supplemental Programs
Teacher Professional Practices / Other

CONTRIBUTION TO LUBBOCK ISD AND THE FIELD OF EDUCATION:

In a brief summary, answer the following questions:

How will this project contribute to Lubbock ISD?
How will this project contribute to the field of education or the area it addresses?

CAMPUS INVOLVEMENT [indicate specific grades, subjects, and campuses on page 3]:

Number of Campuses Involved: / Grades involved:
Specific Campus Administrator Requirements:

TEACHER INVOLVEMENT:

Number of Teachers Involved: / Time Required for Teacher Involvement:
Does this require time away from instruction? / If so, how much time away?
Specific Teacher Requirements:

STUDENT INVOLVEMENT:

Number of Students Involved: / Time Required for Student Involvement::
Parental Permission Needed?
Specific Student Requirements:
CENTRAL OFFICE APPROVAL:
Research, Assessment, and Accountability Executive Director / Date
CAMPUS APPROVAL REQUIRED [principal of campus may decline participation]:
APPROVED / DENIED
Campus Principal / Campus Name / Date

Lubbock Independent School District

Research Application

Grades | Courses | Campuses

Please check all GRADES you wish to include in your study:
ALL Grades / NO Grades (not grade-specific)
Elementary / PK / K / 1 / 2 / 3 / 4 / 5
Middle School / 6 / 7 / 8
High School / 9 / 10 / 11 / 12
If course-specific, please type all COURSES you wish to include in your study:
English/Reading
Math
Science
Social Studies
Please check all SCHOOLS you wish to include in your study:
ALL Elementary schools / ALL Middle schools / ALL High schools
NO Elementary schools / NO Middle schools / NO High schools
High Schools:
Coronado / Estacado / Lubbock High / Monterey / Talkington SYWL
Middle Schools:
Atkins
Cavazos / Dunbar
Evans / Hutchinson
Irons / Mackenzie
Slaton / Wilson (S.)
Talkington SYWL
Elementary Schools:
Alderson
Bayless
Bean
Bowie
Brown
Centennial / Dupre
Ervin
Guadalupe
Hardwick
Harwell
Hodges / Honey
Jackson
Maedgen
McWhorter
Miller
Overton / Parsons
Ramirez
Roberts
Rush
Smith
Stewart
Waters / Wester
Wheelock
Whiteside
Williams
Wilson (R.)
Wolffarth
Wright
1 / Lubbock ISD | Research, Assessment, and Accountability