Research Review Board Application
Chicago Public Schools
42 W. Madison Street
Chicago, Illinois 60602
Phone: 773-553-4444
www.cps.edu/research
Date:
Proposal Title:
Please complete and submit this form, and also mail six (6) printed copies of your complete
application package and $50 processing fee to the RRB. See checklist at the bottom of the form to
ensure a complete application. Incomplete applications will not be reviewed by the RRB.
Office of Planning and Data Management
Subject:
GRADUATE STUDENTS: If you are a graduate student 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 receive clearance from CPS via the Graduate Student Research Screening Process. If you
have received clearance to apply through that process, please include your decision letter from CPS with this application. If you have not completed
that process, you must do so before submitting an RRB application. Additional information and resources are at www.cps.edu/research.
Application type(s):
Primary Contact:
Organization:
Address:
City: State: Zip Code:
Proposed
Study Participants:
Phone: Email:
New Proposal
Resubmission
Students
Teachers
Other Staff
Parents
Proposed
Number and List
of Participating
Schools:
Executive
Summary
or Abstract:
CPS Board Contracted
Research Proposal?
No
Yes
Researcher(s)
Status and Title:
2nd Floor
Attn: RRB
Updated June 2016
Research
Purpose and
Literature
Review:
Research
Question and
Hypothesis:
Benefit to CPS
and/or
Education:
Updated June 2016
Processing Fee of $50.00
Assent form for 6th grade/students ages 12-17 as appropriate
Informed consent forms for parents and/or teachers as appropriate
Copy of survey or other instruments in final form (required)
Signed Institutional Review Board approval letter (required)
Application Form (required)
RRB Application
Checklist:
After completing and submitting the Application Form, please also mail six (6) printed copies of your complete application package and
$50 processing fee to the RRB. See checklist below to ensure a complete application. Incomplete applications will not be reviewed by the
RRB.
Informed consent forms for students ages 18 and over as appropriate
Study Timeline
for all Research
Activities
Described
Above:
Description of
Research
Activities and
CPS Student
and/or Staff
Involvement:
Graduate Student Research Screening Decision Letter (required for graduate students)
Updated June 2016
Print Form