Research Project Submission

PI Email
PI Phone
PI Department
PI Title
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UCLA Faculty Sponsor

For students and off-campus applicants
Other Key Personnel
Please list all members of the research team who will have access to research data or will interact with UCLA Lab School students.

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Abstract
Project Title*
Project Summary
Goals
Benefits of Research
Describe the direct and indirect benefits of the research to the field and specifically to UCLA Lab School (if applicable)
Dissemination/Publications

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You may not have all of the requested information for this section at this time. CONNECT will help you identify appropriate teachers, staff and classrooms if needed.
Relationship/Prior Contact with Teachers/Staff
Have you had prior contact with anyone at UCLA Lab School regarding this project?
Teachers/Staff Consent
- Yes
- No
Have you already obtained UCLA Lab School teacher/staff consent?
UCLA Lab School Personnel Involved
Room Numbers
Academic Topic
Information from UCLA Lab School Database
If you selected Access to Existing Records in the METHODS section, please specify what is needed and explain why
Special Requirements at UCLA Lab School
Please list any requests for interview rooms, equipment needed, time constraints, etc.
Estimated Start Date
MM slash DD slash YYYY
Estimated End Date
MM slash DD slash YYYY

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IRB #

Once you have received UCLA IRB approval, please provide the IRB number:
IRB Approval
Attachments
Drop files here or

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Guidelines*
- I accept
Please review the GUIDELINES FOR CONDUCTING RESEARCH AT UCLA LAB SCHOOL, and indicate your acceptance of the terms by clicking the box.

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