Research Request Form

USE OF GLISI PUBLICATIONS


If you are interested in referencing a GLISI publication, please let us know by completing the contact fields below. Only proposals that include ALL the applicable elements on the form below will be considered for review; however, acceptance of this application in no way obligates GLISI to approve the proposed research.
Name

Scroll to the bottom on the page to submit form.

REQUEST TO CONDUCT RESEARCH


If you are a researcher wishing to conduct research on GLISI's programs, you are invited to submit a proposal for review. Only proposals that include all the required elements will be considered for review; however, acceptance of this application in no way obligates GLISI to approve the proposed research.

Please complete the Research Proposal Application below, uploading all relevant supplemental materials.
MM slash DD slash YYYY

Contact Information

Name
Address

Professional and/or Academic Information

Address
Has this research study been approved by your district?
Is this research part of work toward a degree?
If yes, which degree are you currently pursuing?
Is IRB approval required for this study?
What type of access are you are requesting from GLISI: (check all that apply)
Will anyone other the the primary research indentified in this application be involved in the data analysis process?
If the data or information collected or accessed by the research contains identifiable information protected under confidentiality and privacy laws, the researcher must ensure that the consents identify all persons involved in the collection and/or analysis of the data in addition to the primary researcher.

Supplemental Materials

The following supplemental materials must be uploaded with the Research Proposal Application to be accepted for review approval:

1. Copy of District Approval Form (if required for study);
2. Copy of approved Institutional Review Board (IRB) application (if required for study);
3. Copy of consent form used for GLISI staff (if required for study).
Max. file size: 50 MB.
Max. file size: 50 MB.
Max. file size: 50 MB.

Agreement

I understand that this application is being accepted for review approval only and that acceptance of this request in no way obligates GLISI to support or participate in the research. I also understand that approval does not constitute commitment of resources or endorsement of the study or its findings by GLISI. Additionally, I agree to send a copy of the final results, as well as any ensuing reports to GLISI's Assoc. Director of Org. Effectiveness at kasey.wood@glisi.org.

I further understand that GLISI reserves the right to charge a reasonable fee if it is determined that the time and/or materials required to compile the requested data exceed average limits of staff time.
Your name
Consent