Fillable Research Review Board Modification & Continuing Review Application (Chicago Public Schools)

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Research Review Board Modification & Continuing Review Application (Chicago Public Schools)

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Research Review Board Modification
& Continuing Review 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 one (1) printed copy along with supplemental
materials and $50 processing fee to the RRB. See checklist at the bottom of the form and RRB
guidelines to ensure a complete application package. Incomplete applications will not be reviewed.
Office of Accountability Attn: RRB
Subject:
RRB Project ID#:
Original Approval Date:
Email: research@cps.edu
Application type(s):
Primary Contact:
Organization:
Address:
City: State: Zip Code:
Proposed
Study Participants:
Phone: Email:
Continuing Review
Proposal Modification
Students
Teachers
Other Staff
Parents
Proposed
Number and List
of Participating
Schools:
Executive
Summary
or Abstract:
CPS Board Contracted
Research Proposal?
No
Yes
Study Timeline
(note any and all
changes to
original):
Indicate Proposed
Modification(s):
Research Question or Hypothesis
Study Timeline
Study Population
Recruitment Methods or Advertising
Study Methodology and/or Research Activities
Consent Form(s) or Consent Process
Survey/Instrument(s)
Type of Data Collected
Other
Detailed
Explanation of
Indicated
Modification(s):
Description of
Research
Activities and
Preliminary
Results to Date:
None
Application Form
Modification &
Continuing Review
Application
Checklist:
Updated Institutional Review Board approval letter
Updated survey or other instruments (if applicable)
Updated informed consent forms for parents and/or teachers as appropriate (if applicable)
Updated assent form for 6th grade/age 12+ students (if applicable)
Processing Fee of $50.00
Updated informed consent forms for students ages 18 or over as appropriate (if applicable)
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Research Review Board Modification & Continuing Review Application (Chicago Public Schools)

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Completed 12 September 2021

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