Where to find us: North-West University Potchefstroom Campus Building G3 For more information please contact: Mrs Jeanne Coetzee (Secretary) jeanne.coetzee@nwu.ac.za 018 299 2551 Please complete all fields on the following form. A consultant will be assigned to you accordingly I am an: - None -External Client (e.g. Other University/ Private Sector)Internal Client ( e.g. NWU Student/ Staff/ Researcher) Faculty and Department Title - None -MissMsMrMrsDr Name and surname Contact number E-mail address Project status - None -Existing ProjectNew Project Assigned Consultant Type of project Title of project Supervisor Name & Surname Phase of project - None -Ethics ApplicationPlanningEditingInterpretationData Analysis Sample size Date of intended submission Questionnaires Yes No * terms of service. * SCS can only assist with quantitive aspects of research * SCS has a turnaround time of 10 business days * I am aware of the Fee Structure and payable fees as set out in the Service Level Agreement Date Submit Leave this field blank