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Evaluation Request Application
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Evaluation Request Application
Name
(Required)
First
Last
Dept./Company/Institution
(Required)
Requestor's Affiliation
(Required)
Phone
Email
(Required)
Description of Evaluation
(Required)
Please provide a summary of the intervention(s) you aim to evaluate.
Reason for the Evaluation Request and how the evaluation will be used
(Required)
Please describe and be specific
School/Academic Years(s) for which the evaluation will apply
(Required)
Special Considerations/Notes Regarding Your Evaluation Request
Note:
our minimum n-size = 10. All cells with less than ten (10) persons will be suppressed to protect privacy.
If there are costs involved in the execution of your above evaluation request, NSWERS will provide you with a time/cost estimate prior to moving forward with the evaluation.
