Proposal Form for Researchers

Your Name:
Your Phone Number:
Your UAA E-mail Address:
	Example-ashhh99@uaa.alaska.edu
Your Study E-mail Address:
	To protect your privacy, we strongly recommend that you create an e-mail address specifically for your study's posting.
Are you a student or faculty member:
If you are a student-class number:
	Example-PSY420
If you are a student-class section number:
If you are a student-faculty advisor contact info:
	Students must include their faculty advisor's name, e-mail address, and phone number
What is the name of your study :
	(8 Word Limit)
Has this been approved by IRB:
What is the participation time:
Is extra credit offered:
	If yes, please read the Extra Credit instructions found on the Researcher web page and use the Extra Credit Report form provided.
Are there any restrictions:
	For Example-only men over the age of 18 or only women who have given birth in the last year.
If yes, what are those restrictions:
Is this an online study:
If yes, what is the link (URL):
If no, where will the research be conducted:
	If it is on campus, include the building and room number. If it is off campus, please specify where.
Describe the study (100 words):
Instructions for Participants: