ACPE Research Study Request
The ACPE Research Committee reviews all requests to collect research data from ACPE members. Please complete the form below for the Research Committee’s consideration. Please allow up to 2-3 weeks for the Research Committee to consider your request. For further information contact email Jasmine.Okafor@acpe.edu
Project Title
*
Principal Investigator
First Name
Last Name
Main contact for this request, if different from Principal Investigator
First Name
Last Name
Main Contact Email
example@example.com
Project Team’s Institutional Affiliation: If your project is not affiliated with a specific institution, we encourage requesters to connect with a local hospital or university to conduct their research.
Date of IRB Approval
-
Month
-
Day
Year
Date
Please upload a copy of the IRB approval or exemption document, if available. Those without access to an IRB are encouraged to link up with hospitals or universities in their area or ask recommendations from the ACPE Research Committee.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Benefits of Research
How does your research project align with the mission/values of the ACPE?
The ACPE has long valued diversity and inclusion, and in recent years the organization has placed special emphasis in this area. Is your project relevant to diversity and inclusion issues as they may relate to the ACPE and, if so, how?
Describe how participation of ACPE Educators, Psychotherapists, or Spiritual Care Professionals benefit this research project. [max 150 words]
Please describe the potential benefits of this research project for the field of CPE, Spiritually Integrated Psychotherapy, or spiritual care in general. [max 150 words]
Report of Findings to ACPE Membership
Please check the following box to acknowledge the following requirement:
Report of findings to the ACPE membership: When my study is complete, I will submit an article or brief report/abstract to ACPE Research Committee for distribution to the ACPE membership.
Yes
No
Please describe your plans for reporting your results to the ACPE community (3-4 sentences). Be specific (include name of target journals, name/year of scientific meetings or conferences).[max 150 words]
Submit
Should be Empty: