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February 15, 2017

Dear Parents and Guardians,

I am a graduate student in the Department of Early and Middle Grades Education at West Chester University of
Pennsylvania, working toward my M.Ed. in Applied Studies in Teaching and Learning. As part of my Masters
degree program, I will be conducting a classroom action research assignment to home and school communication
and collaboration impacts student success.

I would like to include your child in my research project. I have discussed my research with my building

During a period of 6-8 weeks, I will be issuing questionnaires and having conversations with students regarding
their education and studying between school and home. As students participate in activities, I will be collecting data
by recording observations, interviewing students, surveying students, and interviewing fellow elementary teachers.

All data that I collect (observations, interviews, and surveys) will be kept confidential and no references to students
names will be used in my work at any time.

I do not anticipate any risk to students who participate greater than daily school life while conducting my research.
If you choose for your child to not participate they will still be included in our daily activities, however, I will not
use information about them (observations/surveys/interviews) in my research. The choice to participate or not will
not impact you in any way. They will not receive any additional benefits or any penalties for not being a participant
in my research.

Additionally, you may withdraw your consent for your child to participate at any time, with no penalty.

All information that is obtained during this research project will be kept strictly secure. Your childs name and any
other information concerning your childs identity will be deleted from the research information. Child and family
confidentiality is most important and every effort will be made to insure that this research remains confidential at all

The results of this study will be used for an online website that is required in my course, Teacher as Classroom
Researcher, in the College of Education at WCU. Pseudonyms will be substituted for the names of students included
in my research. The website used to present my research is a password-protected site, viewable only by classmates,
my professor, and me.

Please indicate whether or not you consent to allow your child to participate in this research project by returning the
form below.

If you are willing to allow your childs participation, please return the following form by


Marisa Schulz
Your name/contact information


I agree to for my child to participate in this research and I understand that observations, survey responses
or interviews from my child will be included, anonymously. I understand there is no risk to my child, and
that I may withdraw my consent at any time, without penalty.

__________________________________________________ __________________________
Signature Date