Research Proposal Submission Form

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This form is to be used for external researchers who wish to conduct research with Hartnell College students and/or employees. It is also required for Hartnell students and employees who are conducting research for external purposes, such as for a graduate thesis or dissertation.

Please complete all sections of this form. A staff member from the Office of Institutional Research will contact you within two business days to confirm receipt of your request. The turnaround time for the review process will be no more than two weeks. Once approval is granted, the approval to conduct research is for a one-year period.

Email *

Untitled Title

Option 1

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Email address *

Phone number *

Title of Project *

College/University/Organization *

Program of Study *

Name of Faculty Advisor/Committee Chair/Supervisor *

Advisor/Chair/Supervisor Email address *

Please explain why have you have chosen Hartnell College for your research study.

Please provide a description of your project, including the names, academic background, and experience of the researchers; the study’s purpose and background; the study’s research methodology, intended participants, and recruitment strategies; and information about processes to maintain confidentiality and data security.
*

Please tell us how this study will benefit the student, faculty, or staff at Hartnell College. *

What is your estimated date of project completion? *

YYYY

Please attach the following items to this form:

-Copies of any research instruments to be used, including survey instruments, interview protocols, or focus group questions;

-A copy of the informed consent form to be used (sample informed consent form);

-A copy of university or agency IRB approval for the study.

A copy of your responses will be emailed to the address you provided.

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