CDL Class Project Request Form

NOTE: The implementation of any class project must first be approved by the CDL, and then scheduled on the Research/Project calendar. Please see the Director or Assistant Director at CDL for more detail.

Boxes marked with * are required.

I. Contact Information

Name(s)*

Home Address*

Home Phone*

E-mail Address*

Business Address*

Business Phone*

II. Affiliation

What is your University Affiliation?

What is your University Affiliation?

Undergraduate

Graduate

Faculty

Other - Please specify:

Enter text

III. Project

Project will satisfy requirements of:

Class Paper

Course

Other - Please specify:

Enter text

If you checked "Course" in the question above, please provide the course name and number:

If this project is being conducted under faculty supervision, please give the name of the project advisor(s).

Project Description

IV. Date(s) when project will be conducted:

Please specify date(s) From_ To_

Building(s) in which research will be conducted:

CDL (Child Development Laboratory)

ECDL(Early Child Development Laboratory)

Classroom(s)/Age(s) with which research will be conducted:

V. Since many of the CDL staff will be involved, it is necessary to have detailed information proposed projects. Please describe the specifics requested in the next section.

[1] A brief description of the nature and purpose of the proposed project.

[2] Procedures to be employed in carrying out the project. This should include exactly what you will be doing with the children, the necessary space and time requirements, the number, gender and ages of the children, etc. Be specific.

CDL Class Project Request Form

CDL Class Project Request Form

Name(s)*

Home Address*

Home Phone*

E-mail Address*

Business Address*

Business Phone*

What is your University Affiliation?

Project will satisfy requirements of:

If you checked "Course" in the question above, please provide the course name and number:

If this project is being conducted under faculty supervision, please give the name of the project advisor(s).

Project Description

Please specify date(s) From_______ To_______

Building(s) in which research will be conducted:

Classroom(s)/Age(s) with which research will be conducted:

[1] A brief description of the nature and purpose of the proposed project.

[2] Procedures to be employed in carrying out the project. This should include exactly what you will be doing with the children, the necessary space and time requirements, the number, gender and ages of the children, etc. Be specific.

Please specify date(s) From_ To_