Draft Research Question Form

CAPSTONE STUDENT

Draft Research Question Form

 

Please   c omplete   a ll   t he   f ollowing   i nformation.   D o   n ot   d elete   a ny   s ections.  

We   u nderstand   t hat   t he   s pecific   n ature   o f   y our   q uestion   m ay   e volve   a s   y our   C apstone   P roject   c ontinues   t o   d evelop.     I f  

your   r esearch   q uestion   c hanges   d ramatically   f rom   y our   d raft   q uestion,   p lease   s chedule   a n   a ppointment   t o   d iscuss   t he  

new   q uestion   w ith   t he   c ourse   d irectors.     P lease   a ttempt   t o   k eep   y our   s tatements   w ithin   t he   g iven   t ext   b ox   s izes.  

 

I.   S tudent   &   M entor   I nformation  

Student   N ame:  

 

Date:  

 

First,   L ast,   D egree  

Mentor’s   N ame:  

 

First,   L ast,   D egree  

Co-­‐Mentor’s   N ame:  

 

First,   L ast,   D egree  

 

II.   P roject   I

nformation  

Project   T itle:  

 

 

Draft   R esearch  

 

Question:  

Please   b e   c oncise   a nd  

specific    

Brief   R ationale   f or  

 

Research   P roject:  

Please   b e   c oncise   a nd  

specific   ( 1-­‐2  

sentences)  

Specific   A ims:    

 

(1   –   3   a ims)  

Describe   a nticipated  

 

outcomes:    

(1   -­‐ 2   s entences)  

Project   T ype   ( please   s elect   a ll   t hat   a pply):  

___   L aboratory   R esearch   P

roject  

____Community-­‐Based   P roject  

____   H ealth   I T   P roject  

____   C linical   T ranslational   P roject  

____   M edical   E ducation   P roject  

____   Q uality   A ssurance   P roject  

____   S ystematic   R esearch   P roject  

____   H ealth   P olicy   P roject  

____   H ealth   S afety   P roject  

Is   t his   p roject   _ ___   R etrospective   o r   _ ___   P rospective?  

Will   t his   p roject   b e   c onducted   o utside   o f   O akland   U niversity   a nd/or   B eaumont   H ealth?     _ ___   y es                   _ ___   n o  

 

Please   n ote   f or   a ny   p rojects   c onducted   o utside   o f   O akland   U niversity   a nd/or   B eaumont   H ealth,   a ffiliation   a greements  

may   n ecessary   b efore   a ny   p roject   c an   i nitiate.     A pproval   o f   a greements   i s   n ot   g uaranteed,   a nd   m ay   n ot   b e   o btained   i n   a  

timely   m anner.     P lease   l et   C apstone   k now   a s   s oon   a s   p ossible   i f   y ou   t hink   t his   m ay   a pply   t o   y our   p roject.  

 

III.   S

ignatures  

Student   S ignature:  

 

Date:  

 

 

Mentor   S ignature:  

 

Date: