Application to Conduct Research — Marietta City Schools

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Part 1

Researcher Information

Principal researcher *

Enter the principal researcher's name.

Institution / organization *

Enter your institution.

Sponsoring higher-education agency (if applicable)

Faculty advisor / staff sponsor

Mailing address *

Enter a mailing address.

Phone *

Enter a phone number.

Email *

Enter a valid email address.

Institutional Review Board (IRB) status *

IRB approval obtained — attach the approval letter IRB review pending — district approval will be conditional on IRB approval IRB review not required — attach the institutional exemption determination

Select an IRB status.

Part 2

Study Overview

Title of proposed research study *

Enter the study title.

Proposed starting date *

Enter a start date.

Proposed ending date *

Enter an end date.

Proposed schools to be included *

List the schools.

Purpose of the study *

Describe the purpose.

Rationale — how will the study contribute to this field of research? *

Describe the rationale.

Research questions or hypotheses *

State your research questions.

Does the study address an identified MCS research priority? *

Yes

Priority area and how the study relates to it

Indicate whether the study addresses a district priority.

Projects addressing a current district research priority have a greater likelihood of approval.

Part 3

Participants & Methodology

20 U.S.C. § 1232h · 34 C.F.R. 98

Participants

Group	Number	Grade(s)	Schools

How were participants selected? *

Describe participant selection.

How much time is required of each participant? Identify any instructional time lost. *

Describe the time required.

What will participants be asked to do? *

Describe participant activities.

Consent procedures — informed consent for adults, parental/guardian consent for participants under 18, and student assent where appropriate *

Describe consent procedures.

PPRA screening — will any survey, analysis, or evaluation ask students about any of the following protected areas?

Political affiliations or beliefs of the student or the student's parent Mental or psychological problems of the student or the student's family Sex behavior or attitudes Illegal, anti-social, self-incriminating, or demeaning behavior Critical appraisals of individuals with whom the student has a close family relationship Legally recognized privileged relationships (e.g., lawyers, physicians, ministers) Religious practices, affiliations, or beliefs of the student or the student's parent Income (other than as required by law to determine program eligibility)

Board approval & active parental consent required

Because this study surveys students on one or more PPRA-protected areas, prior written parental consent is required before any student may participate, the instrument must be available for parent inspection on request, and the survey requires approval of the Marietta Board of Education. 20 U.S.C. § 1232h; 34 C.F.R. Part 98.

Potential benefits to participants *

List potential benefits.

Potential risks — and how each will be minimized *

List potential risks and mitigations.

Research design *

Quantitative Qualitative Mixed methods

Select a research design.

Briefly describe your design, and indicate whether this is a single study or one of a series *

Describe your design.

Part 4

Data Collection & Analysis

34 C.F.R. § 99.31(a)(6)

Data collected directly from participants

Attach a copy of every survey, interview protocol, test, or checklist when you email your application. Surveys require approval of the Marietta Board of Education.

Data to be collected	Instrument	Data source	Anticipated date

Student records / district data requested

FERPA permits disclosure of only the minimum data elements necessary. List each element individually (e.g., scale score, attendance rate) — do not request whole records.

Data element	Purpose / research question served	Identified or de-identified?

Data analysis procedures — descriptive/inferential statistics or qualitative methods *

Describe your analysis procedures.

Will anyone other than the principal researcher access data or assist with analysis? *

No Yes

List every individual, their role, and their institution

Indicate whether others will access data.

Part 5

Data Privacy & Security Plan

O.C.G.A. § 20-2-660 et seq.

Where and how will data be stored, and what safeguards (encryption, access controls) will protect it? *

Describe your storage and safeguards.

How will the identity of participants, schools, and the district be protected in all reports and publications? *

Describe identity protection.

Date by which all personally identifiable information will be destroyed *

A specific destruction date is required.

Federal regulations require destruction of personally identifiable information when it is no longer needed for the purposes of the study.

Will any online service, application, or software be used to collect or store student data? *

No Yes

Identify each tool

Operators of online services used for K-12 purposes are subject to Georgia's Student Data Privacy, Accessibility, and Transparency Act, including prohibitions on selling student data or using it for targeted advertising.

Indicate whether online tools will be used.

Part 6

Researcher Assurances

FERPA · PPRA · Georgia law

Check each assurance to acknowledge it. Your submitted application records these acknowledgments; a signed copy of the district's Research and Data Use Agreement is required before any approved study begins.

Part 7

Attachments

Upload your IRB approval letter (or exemption determination), every data-collection instrument (surveys, interview protocols, tests, checklists), and all consent and assent forms. These upload with your application when you submit. PDF or Word files; 15 MB total.

Submitting sends your application and attachments directly to the Office of Strategy and Innovation, attention Dr. Ryan Moore, Director of Strategy and Innovation, and produces a copy for your records. Your application is not under review until the complete packet — including the IRB letter, all instruments, and consent forms — has been received.

The application is incomplete

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