Research Modification or Continuation Request Form
Complete an electronic copy if:
1. There are changes to your approved research.
2. Data collection goes beyond the school year of the approval period.
3. Data collection takes place over more than one school year in a multiyear study.
Note: All approved modification and continuation requests are subject to the practices and policies in place
at the time of approval.
Part I: Complete the following
Proposal Title:
Today’s Date:
Original Approval
Date:
Organization Name:
Researcher
Name:
E-mail Address:
Mailing Address:
Phone:
Part II: Indicate purpose for submission (select all that apply).
Continuation of current research: Please attach rationale for the request.
Note: Continuations will only be granted for one year at a time. IRB renewal letter must be
provided.
Modification of original research proposal: Select areas of modification below. Select all
sections of the original proposal to be modified and attach rationale for the request
Research purpose
Research question(s)
Timeline
Study population
Participant selection methods
Study design
Analysis plan
Consent form(s) and/or process by which consent is obtained (please attach)
Research Instruments (please attach)
Type of data collected
Other (please specify within written rationale)
Note: Modification requests that are approved are granted for the same school year in which the
initial research request was approved. If data collection goes beyond the school year of the
approval period, researchers will need to submit a continuation (see details above).
Part III: Submit electronic copy of rationale and this completed form to the Department of Research and
Program Evaluation at fcsresearch@fultonschools.org .
Decision:
Date:
Office Use Only
Letter Sent:
Department of Research and Program Evaluation, Office of Accountability, Fulton County Schools