data use application · 19 researcher biographies – provide a brief biography for each researcher...

Data Use ApplicationWhen submitting your Data Use Application, please include your résumé/curriculum vitae and a copy of your most recently published research (if any). If you have questions call 215-383-0700, option 4 or email research@culturaldata.org.

1 Date of Application:

2 Title of Research Project:

3 Name of Principal Researcher:

4 Title of Principal Researcher:

5 Receiving Institution:

6 Address:

7 City, State, ZIP:

8 Telephone Number:

9 Fax Number:

10 Email Address:

11 Name & Title of Co-Researchers:

12 Commissioned by (if applicable):

13 Project Description - Provide an overview of the research:

400 Market Street, Suite 600Philadelphia, PA 19106215.383.0700culturaldata.org

14 Data requested – Identify the specific parameters of the data being requested:

Aggregated or individual data: Aggregated Individual

Fiscal year(s) data: All available Most recent Other (describe below)

Geographic boundaries (specify individual states, counties, or zip codes below):

Disciplines (specify disciplines/categories below if applicable):

15 Data analysis – Describe the data review process, including other data sources that may be used to enhance the analysis of CDP data:

16 Target audience and study impact – Define the audience (policy-makers, administrators, funders, etc.) for the project and what knowledge or findings you expect to share with that audience:

17 Proposed timeline – Provide the latest date for receipt of the data and the expected completion / publication date for research:

18 Distribution of findings – Explain how the research findings will be circulated (include websites and/or publications used for distribution where applicable):

400 Market Street, Suite 600Philadelphia, PA 19106215.383.0700culturaldata.org

19 Researcher Biographies – Provide a brief biography for each researcher or attach a résumé/cv:

Principal Researcher:

Co-Researcher #1:

Co-Researcher #2:

Please send completed applications to: DataArtsresearch@culturaldata.org 400 Market Street, Suite 600 Philadelphia, PA 19106 215-383-0700culturaldata.org