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Interest Form

If you are interested in participating in one of our studies, please fill out the form below and we will contact you shortly to schedule a time. 

Questions?  Take a look at the information we have available for participants or email us at childstudy@lclark.edu.

All fields marked with asterisk (*) are required.

required text field
required text field
required text field
required text field
required text field
required text field
text field
required e-mail address field
required text field
required text field
1st Child
required radio button field
Gender*
1st Child
text field
text field
2nd Child
radio button field
Gender
2nd Child
text field
text field
3rd Child
radio button field
Gender
3rd Child
text field
text field
4th child
radio button field
Gender
4th Child
text field
text field
5th Child
radio button field
Gender
5th Child
text field
text field
6th Child
radio button field
Gender
6th Child
required text field
textarea field

email 

voice 503-768-7487 

Director Jennifer LaBounty

  • Early Childhood Development Project
    Lewis & Clark
    615 S. Palatine Hill Road 
    Portland OR 97219