Graduate Student Research Screening Form
Chicago Public Schools
42 W. Madison Street
Chicago, Illinois 60602
Phone: 773-553-4444
www.cps.edu/research
Date:
Proposed Title:
If you are seeking to conduct research in CPS in order to fulfill an academic, degree, or course requirement such
as a Master's thesis or Doctoral dissertation, you must first submit this form as part of the Graduate Student
Research Screening Process. Only if you receive clearance through this process will you be able to apply to
conduct research in the district via the Research Review Process. Complete this form and email it, along with all
supporting documents, to research@cps.edu.
Office of Planning and Data Management
Subject:
Name:
University:
College/Dept.:
Advisor Name/Title:
Proposed
Study Participants:
Advisor Email:
Students
Teachers
Other Staff
Parents
Chicago Public
Schools
Affiliation:
If you are a CPS
employee, provide
details here.
Executive
Summary
or Abstract:
2nd Floor
Attn: RRB
Email:
Updated June 2016
Justification of
Chicago Public
Schools as
Research Site:
Why does your
research need to take
place in CPS?
Research
Question,
Hypothesis, and
Methodology:
Updated June 2016
Description of
Research
Activities and
CPS Student
and/or Staff
Involvement:
Completing and submitting this form is the first step in the Research Review Process - it does not replace the Research Review Process.
If the submitted materials are cleared, you may then continue on to the New Research Application Process, and review from the
Research Review Board. If you submit this research to the Research Review Board without having received clearance, it will not be
reviewed. If the submitted materials are rejected, you may not conduct nor apply to conduct this research within Chicago Public
Schools.
Updated June 2016
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