Proposal Form (Word)

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AR Proposal Form
Action Research Proposal Form
Fort Bend ISD has an exciting program to engage the intellect and discover the most
effective professional practices of our teachers and administrators in a wide variety of
areas. Individuals or teams (up to five people) may submit action research proposals on
any topic, provided that the focus of the project includes student achievement and
professional practices. All grade levels, all programs, and all subjects will be considered.
The definition of “student achievement” may include state assessments but may also
include district, school, and teacher-created assessments.
Instructions: Please either copy and paste this form into the body of an email or attach
the file to submit the information electronically to the following email address:
[email protected]
Please type or print. Please fill in information below and add spaces as needed.
Part I. Contact Information
1. Primary contact:
Name: ______________________ School or Department: ___________________
Job Title: _____________________________________
Telephone No: _________________Email : _______________________________
2. Additional Team Members:
Name: ______________________ School or Department: ___________________
Job Title: _____________________________________
Telephone No: _________________Email : _______________________________
Name: ___________________School or Department: _____________________
Job Title: _____________________________________
Telephone No: __________________Email : _______________________________
Name: ___________________School or Department: _____________________
Job Title: _____________________________________
Telephone No: _________________Email : _______________________________
Name: ___________________School or Department: _____________________
Job Title: _____________________________________
Telephone No: _________________Email : _______________________________
Adapted from the Reframing Teacher Leadership to Improve Your School book
by Douglas B. Reeves
1
AR Proposal Form
Part II. Research Questions
What question will your action research project consider? Please note that an
effective research project must include specific references to student achievement
and professional practices. We encourage creativity from a broad range of fields
and grade levels.
Part III. Student Population to be Observed
Grade levels: _________
Special characteristics, if any: _ _______________________
Subjects: _ _______________________
Additional information about the student population:
Part IV. Data Sources (student achievement or others) to Be
Gathered
(Please show the data sources used to answer each research question. i.e. Research
question 1: students’ semester grade, TAKS scale score, etc. Research question 2:
rubric-rating teacher observations, etc.) Please briefly explain your rationale for
using the particular data sources to answer each research question.
Adapted from the Reframing Teacher Leadership to Improve Your School book
by Douglas B. Reeves
2
AR Proposal Form
Part V. Professional Practices to Be Observed
Please specify your instructional strategy or professional practice you are going to
use for your action research project. Please describe in details what the
instructional strategy will do and your rationale of using it.
Part VI. Additional Information
Here please provide any additional information about your project and yourself.
Please list your years of teaching experience, research experience (in details), and
describe why you are interested in this topic.
Adapted from the Reframing Teacher Leadership to Improve Your School book
by Douglas B. Reeves
3
AR Proposal Form
Part VII. Support, Permission, or Resources Required
Is your principal/supervisor aware of your project? Yes/No (Please circle/highlight
one).
Please list any special administrative support and resources required in order to
complete this project. If there is none, please put n/a here.
Adapted from the Reframing Teacher Leadership to Improve Your School book
by Douglas B. Reeves
4
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