data use application · 19 researcher biographies – provide a brief biography for each researcher...
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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 [email protected].
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: [email protected] 400 Market Street, Suite 600 Philadelphia, PA 19106 215-383-0700culturaldata.org