Request for Research Involvement Form

Title of Research Project

Name *

First

Last

Position

CV Upload *

Click or drag a file to this area to upload.

File number limit: 1 Single file size limit: 10MB Allowed file types: Word, Excel, PPT,PDF, Image, Video, Audio

Institution *

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Email *

If you are undertaking this research as part of a course, pleae include the name of your supervisor, the course and the institution

Project Overview *

Please include an explanation of the research you wish to undertake including the aims (max 250 words)

Does this research require Human Research Ethics Committee Approval? *

Please upload a copy of your Human Research Ethics Committee Full Application and Approval

Click or drag files to this area to upload. You can upload up to 5 files.

File number limit: 5 Single file size limit: 10MB Allowed file types: Word, Excel, PPT,PDF, Image, Video, Audio

Please identify from whom you require involvement *

What involvement do you require? *

Please provide the timeline for your researching highlighting InSpEd/STaR involvement *