Home - Wits University · Web viewFORM A - Request to conduct Research at the University of the...

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FORM A - Request to conduct Research at the University of the Witwatersrand, Johannesburg ____________________________________________________________________ ____________ This form must be completed by registered Master by Research/ PhD students and staff at Wits wishing to conduct research by using Wits student/staff data. Please email form to [email protected] First Name Surname: Staff/Student number: Degree currently registered for: School: Research title: Has ethics clearance been obtained from the University Ethics Committee/School Ethics Committee? YES NO (If yes please include a copy of the ethics clearance and protocol number below) Protocol number: If ethics clearance has not been obtained please note that you will not be able to conduct your research until the required permission has been granted. Has your Head of Department/Supervisor granted permission for the research to be conducted? YES NO (If yes please include a copy of the letter of approval) What is the expected duration of your research? Who will research be conducted on? (please tick the appropriate box): Students 1

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Page 1: Home - Wits University · Web viewFORM A - Request to conduct Research at the University of the Witwatersrand, JohannesburgThis form must be completed by registered Master by Research

FORM A - Request to conduct Research at the University of the Witwatersrand, Johannesburg________________________________________________________________________________

This form must be completed by registered Master by Research/ PhD students and staff at Wits wishing to conduct research by using Wits student/staff data. Please email form to [email protected]

First Name Surname:

Staff/Student number:

Degree currently registered for: School:

Research title:

Has ethics clearance been obtained from the University Ethics Committee/School Ethics Committee?

YES NO(If yes please include a copy of the ethics clearance and protocol number below)Protocol number:

If ethics clearance has not been obtained please note that you will not be able to conduct your research until the required permission has been granted. Has your Head of Department/Supervisor granted permission for the research to be conducted?

YES NO(If yes please include a copy of the letter of approval)What is the expected duration of your research?

Who will research be conducted on? (please tick the appropriate box):StudentsStaffBoth staff and studentsOthers(please specify)

If the research will be conducted on student data please specify year of study /Faculty or degree data will be required for:

First Year Students Second Year StudentsThird Year StudentsFinal Year StudentsPostgraduate Students

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Page 2: Home - Wits University · Web viewFORM A - Request to conduct Research at the University of the Witwatersrand, JohannesburgThis form must be completed by registered Master by Research

FacultyDegree

How will the research be conducted?E-Mail

Interviews(please attach a copy of the interview questions)

Other data collection (please specify lists or statistics)

Focus Groups

Student signature: ………………………………………… Date………………………………………………

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