Humble ISD Application for Research

Please complete all sections of this form. You can also download application guidance. or a copy of this form.

I. GENERAL INFORMATION

Major Data Source *
 
Relationship to Humble ISD *
Are you proposing implementation of a program? *
In the preceding question, you were asked if you are proposing implementation of a program. If you answered yes, please indicate what type of program. *
 


FOR  DISTRICT USE ONLY: Based on the information/process described above, the following recommendations are made:
District program approval signatures:

Approval__________

Revision & Resubmission__________(attach explanation)

Denial________(attach explanation)

Signature________________________________________________  Date:_____________________



II. MAIN PROJECT CONTACT PERSON/STUDENT IF CLASS PROJECT, THESIS OR DISSERTATION

III. PROJECT DIRECTOR/SUPERVISING PROFESSOR IF CLASS PROJECT, THESIS OR DISSERTATION

IV. PROJECT OVERVIEW

Use the following grid to give a short overview of your project:
 NumberDescription (grades, schools, other characteristics)
Students
Staff/Others
Parents/Guardians
 ParticipationTime RequiredData Required (New & from School/Central Records)
Students
Staff/Others
Parents/Guardians

VII. Is this a single study or one of a series planned or contemplated? *


XII. Does any of the equipment or any procedure to be used constitute a potential emotional or physical hazard to subjects? *
 

XVI. Assurances: Entering your name in the electronic signature field below indicates you are signing this agreement.

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