Researcher's name:
_____________________________________________________________________ Researcher's telephone:
______________Researcher's email:
______________________ Title of study:
__________________________________________________________ Qualifications required in order to
participate in this study (if
any):____________________ _____________________________________________________________________ _____________________________________________________________________ Faculty sponsor (if
applicable):_____________________________________________
In the table below, enter the dates you wish to run your experiment, the time of day, the length of time participants will be participating, the room you would prefer to use (please also list a 2nd choice in the event your first choice is taken), and the maximum number of participants you will run on that day at that time. You may list up to 15 different dates and times for this experiment.
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