The College ofSaint Rose
432 Western Avenue
Albany New York 12203 1-800-637-8556
Agency Request for a Research /Evaluation Project
ICRT is a program of The College of Saint Rose and the services offered are part
of the College's many initiatives in the community. Faculty and students from The
College of Saint Rose work in collaboration with the Institute Director in order
to meet the project goals. A sliding scale fee is charged for the development and
completion of a project. This is negotiated prior to the onset of the project. Please
complete the information requested below. You may fax (518-458-5446 ) or email
your request to ICRT@strose.edu
Agency Name ____________________________________________________
Agency Address___________________________________________________
Person to contact __________________________________________________
Telephone __________________________Email address_____________________
Agency annual operating budget ________________________________________
In a few lines please describe your agency
Please describe the issue that you would like ISBHRT to address (attach additional pages if necessary)