Application Form for
Permission to Conduct
Research in Tasmanian
Government educational
settings
D e p art me n t of E d uc at ion
E d uc at ion al P e rforman c e Se rv ic e s
TITLE OF RESEARCH PROJECT
See http://www.education.tas.gov.au/Community-and-Providers/initiatives/Pages/Research-inGovernment-Schools.aspx for Guidelines for Conducting Research in Tasmanian Government
educational settings.
INFORMATION ABOUT THE APPLICANT/S
1. Name/s of Supervisor/s
Position/Present appointment
Postal Address
Telephone Number
Email address
2. Academic qualifications of
Supervisor/s
3. Name of Applicant/s
Position/Present appointment
Postal Address
Telephone number/s
Email address
4. Is this study contributing
towards an academic
qualification? (please specify)
5. Date and Reference Number
of the approval from the
relevant Ethics Committee(s)
or sponsoring &/or
administering institution(s)
6. Are you a registered teacher
in Tasmania?
Yes
No
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TRB Number____________________ Expiry __________
(See 4 under the Good Character Clearance Process in guidelines)
INFORMATION ABOUT THE RESEARCH PROJECT
7. Organisation or institution
through which the research is to
be conducted (if any)
8. If there is a financial grant for
this study, indicate the provider
and the amount of funding
received
9. Aims of the study, including
educational significance
10. What benefits to students will
the study provide?
11. What benefits to
schools/colleges and teachers
will the study provide?
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12. Outline of proposed research
plan
(a). Preliminary investigations or
pilot studies if intended
(b). General outline of research
methods to be used for
collecting information
(c). Schedule of activities, including
time-line for completion of
entire program
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13. Names and number of selected
schools/colleges
If not school/college based indicate
other DoE locations required
or
method of delivery eg online;
phone
14. Subjects/students required
(a). Indicate year levels (or ages)
and the approximate number
of students required per
school/college at each year (or
age) level
State any other necessary
characteristics of students
(b). Indicate whether
subjects/students will be
required individually or in
groups. If in groups, give size
(c). Give approximate dates and
amount of time required
(d). Are any adults required as
subjects for this research?
Yes
No
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15. If teachers are required to
assist the researcher, describe
what they will be asked to do
and the amount of time
required
(Attach copies of instructions to be
given to teachers)
16. Where active consent is sought
from students and/or
parents/carers, how is it to be
obtained?
(Refer to Guidelines on “Informed
Consent”)
(Attach copies of materials used to
inform parents/carers and/or
students, and relevant consent forms)
17. Instruments and other forms of
data collection
Where these are well known and
commonly used (e.g. those listed in
the ACER Catalogue) list the
name(s) of the instruments
Otherwise enclose a copy of each
instrument and its accompanying
covering letter and instructions
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For all instruments you intend
using, clearly indicate the group to
whom it is to be administered (e.g.
parents, teachers, students)
Describe how each is to be
administered and give an estimate
of the time required
18. Will you require access to data
already residing with the
Department of Education?
Yes
No
(if yes, refer to Guidelines)
19. Outline your plans for
disseminating the results of
these investigations
20. Expected date of dissemination
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DECLARATION
I/we agree to abide by the conditions set out in the Guidelines for Conducting Research in Tasmanian
Government Schools and Colleges.
I/we, the undersigned declare that the information supplied is true and accurate to the best of my/our
knowledge.
I/we understand that upon completion of the above research, a report is to be submitted to the
Department of Education and feedback is to be provided to the participating schools/colleges.
Signature of Supervisor/s:
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Signature of Applicant/s:
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Date:
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Checklist (Please complete)

Relevant Research and Ethics Committee Approval has been received from the
sponsoring/administering organisation and evidence of approval is attached.

Copy of Good Character Clearance letter has been obtained from Departments Conduct and
Investigation Unit and is attached.

Copies of the proposed letter to principal, consent forms, plain language statements and
instruments etc, are attached (as applicable).

The Declaration has been signed and dated by all investigators.
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Signed application, together with attachments, should be forwarded to:
Research Applications
Educational Performance Services
DEPARTMENT OF EDUCATION
GPO Box 169
HOBART TAS 7001
Or email to
educationalperformanceservices@education.tas.gov.au
(please include scanned signatures of all researchers involved)
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