action research proposal form

7/30/2019 Action Research Proposal Form

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AR Proposal Form

Adapted from theReframing Teacher Leadership to Improve Your School book

by Douglas B. Reeves

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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 andprofessional 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.

Pa r t I . Co n t a c t I n f o r m a t i o n

1. Primary contact:Name: ______________________ School or Department: ___________________

Job Title: _____________________________________

Telephone No: _________________Email : _______________________________

2. Additional Team Members:Name: ______________________ School or Department: ___________________

Job Title: _____________________________________


Name: ___________________School or Department: _____________________

Job Title: _____________________________________

Telephone No: __________________Email : _______________________________


Job Title: _____________________________________



Job Title: _____________________________________

mailto:[email protected]:[email protected]


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Par t I I . Resea rch Ques t i ons

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.

Par t I I I . St u den t Popu l at i on t o be Observed

Grade levels: _________

Special characteristics, if any: _ _______________________

Subjects: _ _______________________

Additional information about the student population:

Par t I V . Da t a Sou rces ( s t uden t ach i evem en t o r o t he rs ) t o 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.


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Par t V . Pro f essiona l P rac t i ces 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.

Pa r t V I . Ad d i t i o n al I n f o r m a t i o n

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.


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Par t V I I . Supp or t , Perm ission , o r Resources Requ i r ed

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.

action research proposal form

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