Parental Consent Form

APPENDIX H
CONSENT FORM FOR PILOTING STUDENT ASSESSMENT

PARENT NOTIFICATION LETTER FOR PILOT OF STUDENT ASSESSMENT

Kathy Sonnenfeld
Survey Director, Study of Secondary Math Teachers from Alternative Routes to Certification

P.O. Box 2393
Princeton, NJ 08543-2393
Telephone (609) 799-3535
Fax (609) 799-0005
www.mathematica-mpr.com
(609) 275-2293

DATE
Dear Parent or Guardian:
Your child’s school is participating in a study to test a student math assessment. The student
math assessment will be used in the Study of Secondary Math Teachers from Alternative
Routes to Certification. Your school district has given Mathematica Policy Research, Inc.
permission to conduct this test so we can improve the assessment. While your child will not receive
any direct benefit from participating in this test, this test will help us design a better study to learn
about how to improve the quality of middle and high school math teachers. Participating in the study
poses no risk to your child.
Your child’s class will be given a computerized assessment of math skills during a regular school
day in the spring of 2009. This test will have no effect on your child’s grades, but it will help us
learn more about the assessment. Participation in the study is voluntary, and your child can stop
participating at any time. If you do not want your child to take part in the study it will not affect the
instruction or other services your child receives at school.
The confidentiality of students, teachers, and schools participating in the study will be
protected. Only the researchers conducting the study will have access to the data that are collected
as part of the study. District officials, principals, teachers, and other school staff will not have access
to the study data. The data for all classes and students in the study from this district will be combined
when presented.
Again, there are no potential risks to your child. However, if you do not want your child to
participate in the test of the math assessment, please call me, Kathy Sonnenfeld, at Mathematica
Policy Research, Inc. (609) 275-2293 or toll-free at (866) 330-9199. I’ll need to know your child’s
name, his or her math teacher’s name, and school. Otherwise, you need not do anything.
Please feel free to contact me with any questions or concerns. Thank you in advance for your help
with this important study.

Sincerely,

Form P:Grades 9– 12

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