Research Request Form

Thank you for interest in Mohawk Valley Resource Center for Refugees. Please be sure to answer all the questions listed. Project requests will be reviewed by the Executive Director and a response will be given as soon as possible following a request.

Date	A value is required.Invalid format.
Name	A value is required.
Institution	A value is required.
Street Address	A value is required.
City	A value is required.
State	A value is required.
Zip Code	A value is required.Invalid format.
Daytime Phone	A value is required.Invalid format.
Evening Phone	A value is required.Invalid format.
Email	A value is required.Invalid format.
Estimated Time frame for this project	A value is required.
Please answer the questions below
1) Please provide a brief description of your intended project.
A value is required.
2) What role will MVRCR have in your project? Please be specific about what exactly our staff will be asked to do in order for you to complete this project.
A value is required.
3) What benefit will there be to refugees and immigrants?
A value is required.
4) Are there any potential risks to refugees and immigrants?
A value is required.
5) What is your proposed time frame including a start date and an end date, and an approximate timeline of activities that will take place throughout the duration of this project? Please provide detailed information about the activities you expect to perform?
A value is required.
6) Please state the projects goals, objectives, and anticipated outcomes. How will you measure the project's success?
A value is required.
7) Are there any other partners in this project, such as other colleagues or other community agencies? How will efforts be coordinated? How will information be disseminated?
A value is required.
8) Why is Mohawk Valley Resource Center for Refugees critical in making this project happen?
A value is required.

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Compass
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