Academic Consultation Request
Sign in to Google to save your progress. Learn more
Your first name: *
Your last name: *
Your email address: *
You will be contacted via email for initial meeting scheduling purposes.
Your academic institution: *
This should be the institution for which you are completing your research.
What is your role at this institution? *
Note: As of August 2020, if you are a student, I will require approval from a representative of your institution (mentor, chair, etc.) in order to work with you. This will apply when your institution does not openly request that you work with a statistician, or already require that I sign an agreement in order to work with you.
Project title: *
Please provide a short description or "title" for your project.
What are you working on now with respect to your project? *
What are your research questions, or what is the main purpose of your study? *
Have you collected any data yet? If so, describe the data you have collected; if not, describe the data you think you might collect (if known). *
If there is a set deadline for you to complete your project, please include that deadline here.
Data storage: May we store electronic data files and other data we receive from you in the following ways? *
Note that we make every effort to keep all material confidential and private. If you say "no" to all options,  you will be contacted for specific details; do not send data prior to this discussion.
On Microsoft OneDrive, a password-protected internet storage service (preferred)
On a USB drive or other portable storage device
On a password-protected computer connected to the internet
Please review the following policy regarding personally identifiable information. *
K. R. Love Quantitative Consulting and Collaboration (QCC) cannot receive or store personally identifying information from individuals included in research studies. This means information that may allow the identification of specific individuals, and includes names, addresses, telephone numbers, email addresses, social security numbers, etc. It is your responsibility as a client to ensure that this information is removed from any and all data that is sent to any representative of K. R. Love QCC. We will do our best to delete such information if it is sent to us through an oversight, but cannot be responsible for the safety of this information.
Please review the following policy regarding IRB and other review board regulations. *
Some studies require the approval of an institutional review board (IRB) at one or more institutions (particularly those involving human subjects); other studies may require the approval of other regulatory boards. If your study requires the approval of such a regulatory board, it is your responsibility as a client to ensure that the proper board(s) has been consulted and necessary approvals have been received. While we reserve the right to cease participation in any study that we believe has not received proper approvals, K. R. Love QCC cannot be responsible for obtaining and reviewing these approvals. It is also your responsibility to inform K. R. Love QCC if we are required to provide a formal agreement with the study review board.
Optional: Do you have any specific questions about how we work, or other information to include with your request? Please include that here.
Optional: How did you learn about me?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.