Request to Conduct Research Form

The Bakersfield City School District (BCSD) receives numerous requests to conduct research each year. All requests are carefully considered with respect to their beneficial impact on and alignment with BCSD's values, vision, mission and priorities. The BCSD's Instructional Support Services is responsible for reviewing and facilitating approvals of all research requests. Only complete requests will be processed and considered.

Research Title

Researcher(s) - List All

Affiliation/Organization

Address

Phone

Lead Researcher Email Address

Projected Start Date

mm/dd/yyyy

Projected End Date

mm/dd/yyyy

Has the researcher received IRB approval?

Upload Completed Research Study Proposal (with all required elements)

Drop your files here

Assurances

All boxes must be checked

I have read, understand and agree to uphold the Protection of Student Rights and Human Subjects requirements

I have read and understand the District Expectations for Research Requests

No changes will be made in the scope and/or structure of the study, unless approved by Instructional Support Services

No study findings will be published or released that identify by name, the district, its schools, students, or staff without the written approval of the Superintendent or designee

A copy of the final study will be submitted to Instructional Support Services and to each school or department participating in the study

Send me a copy of my responses

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