SUNY Plattsburgh Campus Survey Form

Use this form to report the planned conduct of a survey of SUNY Plattsburgh students, faculty, staff, alumni or emeriti to the College Survey Council.

THIS DOES NOT CONSTITUTE SUBMISSION TO THE COMMITTEE ON THE PROTECTION OF HUMAN SUBJECTS (COPHS). THEY MUST BE NOTIFIED SEPARATELY. COPHS APPROVAL MUST BE GRANTED BEFORE SURVEYING BEGINS.

Name Name First Last
Email
Department/Unit
Campus Position
Are you a principle investigator of this survey/research project?

Are you a principle investigator of this survey/research project? Yes Yes, for local purposes on behalf of an external PI No - please provide name and department of PI(s)
Please provide a brief description of your survey, including purpose, intended respondents, and use/distribution of results.
Have you already applied to COPHS for approval?

Have you already applied to COPHS for approval? Yes, but approval has not yet been obtained. Yes, COPHS has approved my survey or recognized it as exempt. No
Anticipated time frame for distribution of survey.
Please provide information on when you intend to distribute the survey and how long administration will last. You may reference specific dates or more general times such as month/semester.
Campus Survey Council

The main purpose of this notification form is to allow the campus to better coordinate surveys, reduce duplication, and keep track of available data sources. However, the committee will also review your survey for overall construction and may suggest changes. You may contact the Council through the Director of Institutional Effectiveness if you would like help refining your survey or reporting results.
I have reviewed the guidance about conducting surveys as found in Policy 4006.1 - Campus Survey Policy

I have reviewed the guidance about conducting surveys as found in Policy 4006.1 - Campus Survey Policy Yes Yes, and I would like to discuss my survey with the Committee. No
Please attach a copy of your survey instrument.

Attach Files
By checking this box, you are certifying that all of the above information is true and accurate, to the best of your knowledge.

By checking this box, you are certifying that all of the above information is true and accurate, to the best of your knowledge. I so ceritfy

SUNY Plattsburgh Campus Survey Form

SUNY Plattsburgh Campus Survey Form

Campus Survey Council