Student Consent Letter

Dear Fifth-grade Student:
Your school is part of a study to help kids become better readers. Some
schools in this study will offer new reading programs in fifth-grade classes. Other
schools will keep the reading program they currently use. At all schools in the
study, a team of researchers will observe teachers in their classroom.
The team of researchers will ask you to take some reading tests a few times
during this school year and next year. They will also ask schools to give us some
information about you, such as your attendance and grades. Only the researchers
will see the test scores and other information about you. This information will help
researchers learn how much the new reading programs make reading easier for
students.
We are asking you to help by being part of the study. We do not have room for
all schools to get the reading programs, so we will draw names to pick the schools.
Even if your school is not picked to get a reading program, you will still be able to
help us in the study.
Please read the statement below and sign your name, telling us if you want to be
part of the study. If you do not want to be in the study, it’s okay. If you join the
study but decide later that you do not want to be in it anymore, that’s okay, too.
PLEASE PUT AN “X” IN ONE OF THE BOXES BELOW, AND PRINT AND SIGN YOUR NAME.

YES, I WANT TO BE IN THE STUDY. My school may be picked to get a new reading
instruction program. I will take reading tests this year and next year.
NO, I DO NOT WANT TO BE IN THE STUDY.

PRINT YOUR NAME ON THIS LINE

SIGN YOUR NAME ON THIS LINE