Sample A: Cover Page of Thesis, Project, or Dissertation Proposal

Appendix B
Teacher Informed Consent Form
PRESCHOOL BOOK READING STUDY ID #: _______________
TEACHER INFORMED CONSENT FORM
RESEARCH PROCEDURES
This research is being conducted to study differences in teachers‘ book reading styles
across classrooms and to test emotional storybooks for social-emotional skills preschool
curriculum development. This research is being funded by the American Educational
Research Association and the U.S. Department of Education‘s Institute of Education
Services. If you agree to participate, you will lead book reading activities with small
groups of participating children 3 times per week for approximately 12 weeks. It is
estimated that each book reading activity will last no longer than 20 minutes, summing to
approximately 1 hour per week for approximately 12 weeks. These activities will be
audio taped before and at the beginning, the middle, and the end of the intervention in
order to study differences in teachers‘ reading styles across classrooms. Certain aspects
of the project cannot be disclosed before data collection, but a full debriefing will take
place at the conclusion of the project. You will also be asked to fill out one brief
questionnaire during this meeting. It is estimated that this meeting will last between 30 to
45 minutes if conducted in large-group format and between 15 to 20 minutes if conducted
in small-group or individual formats.
RISKS
There are no foreseeable risks for participating in this research.
BENEFITS
There are no benefits to you as a participant other than to further research in preschool
teachers‘ storybook reading styles.
CONFIDENTIALITY
The data in this study will be confidential. Your name will not be included on the
questionnaire or audio tapes. Rather, a code will be placed on the survey and other
collected data. Only the researcher will be able to link your survey to your identity
through the use of an identification key. Questionnaire and audio taped data will be
stored in a locked and secured location, and only the researcher will have access to them.
Upon the completion of all coding of the transcripts, the original and copied tapes will be
destroyed.
PARTICIPATION
Your participation is voluntary, and you may withdraw from the study at any time and for
181