JACK & STEPHANIE KORALESKI COMMERCE AND APPLIED BEHAVIOR LAB
The purpose of this form is to provide pertinent information regarding your research study to allow the
Koraleski CAB Lab assistants to make the study available to the CBA participant pool. Please answer the following questions. Contact the lab manager or lab assistants with any questions at unocablab@unomaha.edu.
1.
Your Name:
2.
Your title (e.g. Assistant Professor, Student, etc.)
3.
Please list all of the researchers on this study.
4.
IRB code.
5.
Title of the Study
6.
Please give a brief description of the study.
7.
Purpose of this research? (e.g. for publication? Part of a grant? Etc.)
8.
Funding source for this research? (please note if it is part of a grant)
9.
What outlet is being targeted following this research?
10.
Is this a lab-based or web-based study?
11.
For web-based studies: a
What survey software is being utilized?
Please note: For Qualtrics based surveys we ask that you add UNOCABLab as a collaborator. We will include a code into the questionnaire that will allow our Subject
Pool software to link to the study and grant students credit. The CAB Lab will not view or touch the data that is collected, it is solely for administrative purposes.
Study URL:
12.
For lab-based studies: b
Who will be responsible for proctoring the study?
Will technology will be utilized? If yes, please indicate
what technology.

RESEARCH INTAKE FORM
13.
Estimated duration of the study.
Please note: Studies under 20 minutes in duration may be paired with another study of similar length for
subject participation.
14.
Number of participants needed.
15.
Are there any prerequisites or disqualifiers to potential participants in the study? (e.g., minimum age? Work
experience? Specific course? etc.)
16.
Do you want email notifications when a person signs up for or cancels a study?
17.
How does your study contribute to the education of
CBA business students? This will be utilized in the student debrief.
NOTE: We will work with you in tying your study to
course-specific objectives.
18.
You agree to provide a summary that will be published at the close of the study. This is to inform students about the research motivation, how their participation helped in solving the research questions driving the study. Please initial.
19.
Release: Do we have your permission to have the study’s description displayed on the CAB Lab website?
(please circle)
20.
Please provide a researcher bio, which will be added to the Lab’s website. This can include your research
interests, degree, position, education, hobbies, etc.
YES NO a For web-based studies using Qualtrics, we ask that you share your study (editing rights only) with unocablab to allow us to link the participant pool software with your study. b Lab-based studies requiring a proctor are the researcher’s responsibility. The lab manager and assistants will coordinate timeslots to maximize efficient usage of the lab.
Please submit intake form to unocablab@unomaha.edu
.
c
Studies applying for Spring 2015 are due by January 5 th , 2015.
Studies applying for Fall 2015 are due by August 17 TH , 2015. c The CRG will review applications and allocate pool usage as noted in the Participant Pool policy.