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* 1. What is your name?

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* 2. What is your email address?

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* 3. What organizations, if any, are you affiliated with?

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* 4. Do you currently work in Charleston County School District?

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* 5. What is the title of your proposed study?

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* 6. STUDY SUMMARY: Please include one paragraph that describes your study and is written in the third person. It should identify: (1) your name and who you are (e.g., an Assistant Professor at the College of Charleston, a math teacher at Wando High School), (2) what you want to study, (3) who you seek to recruit to your study, (4) what data you will collect and how, (5) how the study will benefit CCSD, and (6) if this study relates to any existing partnerships and/or if your study has the support of any CCSD administrators or teachers.

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* 7. STUDY PURPOSE & RESEARCH QUESTIONS: What is/are your study research question(s)? What is the purpose of your study? What gap(s) in the research literature will your study fill?

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* 8. BENEFITS TO CCSD: In what ways will your study benefit CCSD students, teachers, or administrators? Will participants receive any incentives for participation?

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* 9. STUDY COSTS: Will your study detract from instructional time? How much time will students, teachers, and/or administrators need to invest to complete your study materials and will that occur during the school day or at another time? What are the possible physical, psychological, legal or other risks to participants, CCSD schools, or the district? Will/how will you ensure that participant data as well as school names are kept confidential and that study participants will not be identifiable in any summaries of your results?

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* 10. PARTICIPANT RECRUITMENT: How will you select and recruit participants to your study? Please identify any particular schools in which you intend to conduct your study. Approximately how many staff or students do you intend to recruit?

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* 11. DATA COLLECTION: What data do you intend to collect, how will you gather it, and when will it be collected? Note that no research may be conducted during state or district-wide testing.

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* 12. DATA ANALYSIS: How will your data be analyzed?

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* 13. STUDY PARTNERS: Do you have support from any CCSD teachers or administrators for conducting your study or is this study part of larger partnership with CCSD or CCSD schools? If no, please write "N/A." If yes, please identify the CCSD staff members with whom you have communicated about your project and their involvement.

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* 14. DISSEMINATION: How will your study results be used or shared and with whom?

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* 15. INFORMED CONSENT: Please upload your informed consent document(s) as a single pdf or word document. Ensure that it contains the following information:
a. The person to whom inquiries should be addressed before, during, and after the study
b. The study title and purpose
c. How participants will be selected
d. An easily understood description of what is expected from participants
e. Anticipated benefits in terms of knowledge or benefits to the participants or CCSD
f. Possible physical, psychological, legal, or other risks
g. Whether students will be personally identifiable and to whom or how you will ensure that participant data as well as school names are kept confidential
h. With whom results will be shared/available and for what purpose
i. If you are collecting student data, a statement which allows parents to indicate that they do not wish for their child to participate
j. A statement identifying participants’ or parents’ right to inspect materials before consenting
k. A statement expressing that the district is neither conducting nor sponsoring the project
l. A statement indicating that there is no penalty for not participating in the study
m. A statement indicating that there is no penalty for withdrawing from the study at any time

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* 16. INSTRUMENTS: Please upload all study instruments such as surveys, interview questions/protocol, observation checklists, etc. Please upload your instruments as a single pdf or word document.

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* 17. INSTITUTIONAL APPROVAL: If you are completing this research as part of your work in a higher education institution or if you are a student and completing this study as part of a capstone, thesis, or dissertation project, you must also submit an approval letter from your school's Institutional Review Board (IRB)/ethics committee. If you are a students, please also include a letter of support from your research advisor. If you are unable to receive IRB approval until after you have received CCSD approval, please include a note explaining this and submit a letter of support from your advisor.

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* 18. (OPTIONAL) Please upload any additional documents that support your study.

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