Policies » Section I: Instruction » ILD-R: Permission To Participate In Non-Educational Survey

Policy Date: 03/13/2018

ASD File: ILD-R
See Policy ILD
PERMISSION TO PARTICIPATE IN NON-EDUCATIONAL SURVEYS, QUESTIONNAIRES, OR RESEARCH

Dear Parent/Guardian,

On ___________________________________ at Auburn Village School, there will be a survey, analysis, or evaluation (“survey”), and your consent is required so that your child(ren) may participate. The description and purpose of the survey, how and when it will be administered, and the intended results of the survey are as follows:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

If you would like to review any survey instrument or instructional material used in connection with any protected information or marketing survey, please submit a request to your Principal/designee. You will be notified of the time and place where you may review these materials. You may review a survey an/or instructional materials before the survey is administered to a student.

STUDENT(S) NAME                                                                                                                           GRADE

_____________________________________________________              __________

_____________________________________________________               __________

_____________________________________________________               __________

As the parent/guardian, I approve my child(ren)’s participation in the activity designated above.

_______________________________                          ______________________________
Parent/Guardian                                                                               Signature Date

Adopted: March 13, 2018