Proposal Form for Researchers

If you see this don't fill out this input box.

Your Name:required

Your Phone Number

Your UAA E-mail Addressrequired

Example- ashhhhh99@alaska.edu

Your Study E-mail:required

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:required

If you are a student - class number and section:

Example - PSY A420-603

If you are a student- faculty advisor information

Students must include their faculty advisor name, e-mail address, and phone number.

What is the name of your study:required

8 word limit

Has this been approved by IRB:required

Yes- From InstructorYes- From IRBNo

What is the participation time:required

Is extra credit offered:required

YesNo

If yes, please read the Extra Credit instructions found on the Researcher's web page and use the Extra Credit Report form provided.

Are there any restrictions:required

YesNo

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:required

YesNo

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.

Instructions for Participants:required

Describe the study (100 words). Please choose your descriptions carefully as this information is made available to participants:

University of Alaska Anchorage