• Section 12.1.F.1 - Coversheet for Application to Conduct Research Within District


  • This application is a request to conduct research within the Dysart Unified School District. All applications must be sent to the Director, Department of Research and Accountability, Dysart Unified School District, 15802 N Parkview Pl, Surprise AZ 85374, 623-876-7000 at least four weeks prior to the proposed start date of the project.  Applications received within six weeks of the first day of state-administered assessments will generally not be accepted but may be considered for the following school year. Applications will not be considered unless all required materials are submitted and documented.

  • FOR SCHOOL USE ONLY

    Application Materials Checklist

    • Signed Application Cover Sheet
    • Completed Application Document: Application to Conduct Research Within the Dysart Unified School District
    • Signed Dysart Unified School District Form of General Understandings, Stipulations, and Conditions for Applications
    • Signed Affidavit of Data Confidentiality
    • Signed Affidavit of Review and Understanding of the Code of Federal Regulations, Title 45, Part 46, Protection of Human Subjects and the Protection of Pupil Rights Amendment (PPRA) (20 U.S.C. § 1232h; 34 CFR Part 98)
    • Sample Parental Consent Form (if applicable)
    • Letter of Approval Regarding Human Subjects Research from Affiliated Institution (if applicable)


  • Reference: Section 12.1, Form 12.1.F.1