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Project Proposal Worksheet

Student Name: _______________________ Date: ________________ Proposed Project Title: _______________________________

1. Setting Description

a. Name of Organization/Educational Site: _____________________________

b. Type of Setting: __________________________

c. Brief Description of the Setting (Include population served, services provided, and

organizational structure):

2. Practice Problem

a. What practice problem does your project address?

b. How is this problem observable or measurable in the proposed setting?

c. What is the purpose of the proposed project?

3. Proposed Intervention

a. What is the intervention that will be implemented?

4. Evaluative Measures

a. What measures will be utilized to evaluate the project?

5. Project Data and Collection Approach

a. What data will need to be collected for the measures? How? By whom?

6. Data Security Plan

a. Provide an overview of your data security plan. Where will it be kept, how long?

7. Project Preparation

a. What do you need to do to complete your project design?

1. Student Name:
2. Date:
3. Proposed ProjectTitle:
4. Name of OrganizationEducational Site:
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