Dear Parents/Caregivers,

I, Lan Yu, am a teacher education student (Pre-service Teacher) in the Master of Teaching (Secondary) program
at Western Sydney University. I am currently enrolled in the unit Secondary Professional Practice 2 as part of my
studies.

During my placement at Cabramatta High School, I will be involved in recording information about your child’s
developing understandings, and experiences during and as a result of three planned lessons. This data will be
used to inform future planning for your child during my teaching and for the purposes of completing a university
assignment based on the assessment and analysis of a child’s learning. All interactions with your child will be
monitored by the regular classroom teacher, except in the event of absence where another experienced teacher
may monitor my interactions with your child.

The types of information that I might collect are; observations of learning, work samples and photos. All
information will be treated with confidentiality and de-identified, and will only be used for the purpose of
completing the assignment for unit Secondary Professional Practice 2. You are welcome to see the information
that I collect about your child at any time.

Please return the consent form below. If you have any questions or concerns, please contact Dr Kay Carroll, Unit
Coordinator at Kingswood Campus at k.carroll@westernsydney.edu.au

Thank you for your assistance,

Lan Yu

Date: 18/05/2020
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PLEASE COMPLETE INFORMATION BELOW AND RETURN TO THE CLASSROOM TEACHER

I, ______________________________________________________________ give / do not give (please circle)

permission for information about my child, _______________________________________________________,
age _________, of class __________________ to be included in the university assignment for pre-service teacher
__________________________________________________.

Signature – Parent / Caregiver ________________________________________ Date:_______________