Application for External Research Partnerships at the Emily K Center
Please complete this application if you are interested in conducting research about any Emily K Center students, families, or staff members. If the study is approved, the researcher will be notified and should contact the staff contact provided in the approval notification. If the study is not approved, the researcher will be notified and may not reapply for six months

The application process must be completed, and all documents must be submitted no later than one month prior to the projected start date of the research. Please consult the FAQ document with questions. For assistance, contact Dalia Wimberly at dwimberly@emilyk.org.

Email address *
Researcher Name *
Your answer
Sponsor Name (required if researcher is a student)
Your answer
Sponsor Email
Your answer
Title of Research Project *
Your answer
Purpose of the study: *
Your answer
Study design, including procedures, methods and timeline: *
Your answer
What are the potential benefits to the Center as a result of this study? *
Your answer
What are the potential risks to Center participants? *
Your answer
Does this study have IRB approval? *
Describe the target population of the study. *
Your answer
What are the study's time requirements for students, staff, volunteers and families? *
Your answer
What data is needed from the Center? *
Your answer
What data is needed from students? *
Your answer
What involvement or assistance is needed from Center staff? *
Your answer
Study's target start date: *
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Study's target end date: *
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Any other additional information you would like to include:
Your answer
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