Dear Researcher:

In order to cooperate with individuals or agencies outside the district intending to do meaningful research within the district, the Research Priority Board must have an opportunity to evaluate the research request. Completing the Permission To Engage In Research Form (PER Form) will facilitate this effort. You can either download the Adobe Acrobat document below, fill it out and sent it to us via the U.S. Post Office, or you may respond electronically by using the link below.

Subsequent to your completion and submission of the PER Form to the Department of Research and Evaluation, the Research Priority Board will review your application to determine if permission to conduct research will be granted.

The board will use the following criteria in evaluating the research:

1. A minimum of student and teacher time should be involved in program implementation, surveys, testing, etc. Benefits will be weighed against time spent.
2. The research instrument and procedures must be of such a nature and wording so as not to be construed as "offensive" by participants and/or the community.
3. The results of the research must be of benefit to the students and district.
4. The proposal must be solid in terms of designs, measurement, and analysis.

Immediately after the Research Priority Board's review, the individual or agency requesting permission to engage in research will be notified of the board's decision. Please allow approximately two weeks for this procedure.

TERMS:
While conducting research in the Mesa Public Schools, I agree to the following terms on the collection and use of data:

1. I agree that I will not disclose to any other party any personally identifiable information obtained by me in the course of my research unless I have obtained the prior written consent of the parent or eligible student. I will furnish a copy of any such consent to the Department of Research and Evaluation.
2. I will advise every study participant of his/her right to refuse to answer any question either written or oral. This will be stated on any written instrument or prior to any interview for gathering data.
3. I will furnish the Mesa Public Schools Department of Research and Evaluation a copy of the results of the project. This report will be filed and made available to personnel at their request.
4. I will obtain clearance from the Department of Research and Evaluation and the schools involved if persons other than those specifically named in this application will work with students and/or district personnel in connection with this project.

Mail to:
Department of Research and Evaluation
Mesa Public Schools
63 East Main Street #101
Mesa, Arizona 85201

PER Form - Adobe Acrobat PDF - (21KB - 4 pages)

PER Form - Electronic Format