Consent To Participate In Research (video)

CONSENT TO PARTICIPATE IN RESEARCH (VIDEO)

On The Quality Teaching for English Learners (QTEL) Program

For Teachers

Your classroom has been randomly selected to participate in the video observations for the evaluation of the Quality Teaching for English Learners (QTEL) program. Berkeley Policy Associates (BPA) is conducting the research in partnership with WestEd, with funding from the U.S. Department of Education. It is directed by Dr. Johannes Bos and Dr. Raquel Sanchez of BPA. Please read all the information below and ask any questions you have before deciding to allow your classroom to participate.

Your ESL/ELD or Language Arts classes will be observed and video recorded by a researcher for three to five days during Spring 2008, Spring 2009, and then Spring 2010. It is important to understand that participation in this study is completely voluntary. You and your students may withdraw at any time without penalty and without any consequences for you, your students, or for the school. If you decide to participate in the videotaped observations you will receive a $50 gift card for assisting with the videotaping over a 3-day/5-day period.

All information about your classroom will be kept confidential, and will be disclosed only with your permission or as required by law. Observation or suspicion of abuse or neglect is reportable by law to the appropriate authorities. Only research staff in BPA’s offices will view the resulting video recordings. No one at the school will be allowed to view the recordings, and there will be no public viewing of the video. You will not be identified in any report on the research results. Results will be analyzed and reported only in terms of groups of classrooms; you will never be identified by name.

The privacy of the information collected about you and your school will be protected by keeping all video data in locked files at the offices of BPA. All computer records will be kept in password-protected, secure storage under the direct control of the researchers. All original data including video recordings will be destroyed at the conclusion of the study.

There are no known risks associated with this study. Your school may benefit from improvements in the quality of instruction from the QTEL training. In addition, the results of the research may influence policy and promote public investments in quality instruction for English Learners and teacher professional development.

If you have any questions or concerns about the research, please feel free to contact Raquel Sanchez, Project Director, Berkeley Policy Associates, 440 Grand Avenue, Suite 500, Oakland, CA, 94610, (510) 465-7884. In addition, if you have questions about your rights as a research participant, or if you have complaints, concerns, or questions about the research, please contact Fannie Tseng, Human Subjects Protection Administrator, Berkeley Policy Associates, (510) 465-7884 or fannie@bpacal.com; or Independent Review Consulting at 800-472-3241 or subject@irb-irc.com.

Thank you for your time and consideration.

SIGNATURE OF RESEARCH PARTICIPANT

I understand the procedures described above. My questions have been answered to my satisfaction, and I agree to be videotaped as part of this study. I have been given a copy of this form.

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Name of Participant (print clearly) Name of School

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Signature of Participant Date