Research Grant Application

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Prefix

First name

Middle Initial

Last name

Institutional Affiliation

Street Address

City

State

Zip Code

E-mail Address:

Home Address:

Work Phone

Title of Project

Name of Dean/Advisor or Department Chair

Check here if this is to be considered a teacher initiated research project.

Please Select... Yes No

If so, please list the name of a school official (principal, superintendent, eg) who can verify employment and give permission to conduct the research.

I agree that if awarded a PMSA research grant, I will write an article summarizing my research, I will give permission for the article to be published in the PMSA newsletter, and I will give permission for my research on the PMSA website.

Please Select... Yes No

Research Methodology

correlational descriptive research ethnography experimental/quasi-experimental historical literature review meta-analysis/quantitative naturalistic/case study single subject time series analysis

Provide a detailed timeline

Budget Please list your budget by item description and amount.

Total Amount Requested (not to exceed $1000)