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

Appendix C
Parent Informed Consent Form
PRESCHOOL BOOK READING STUDY ID #: _______________
PARENT 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 be asked to fill out two brief questionnaires.
It is estimated that approximately 15 minutes will be required to complete these
documents. If your child agrees to participate, he/she will complete two tasks with a
researcher and will be observed by a researcher during the preschool day at two separate
time points. In the tasks, your child will answer the researcher‘s questions using puppets
and will answer questions the researcher asks about pictures. Each questionnaire your
child completes should take about 15 minutes each, and the observations will not require
any time outside of the classroom.
Your child will also participate in book reading activities with his/her teacher 3 times per
week for approximately 12 weeks. Each activity should last about 20 minutes. These
activities will be audio taped before and at the beginning, the middle, and the end of the
activity phase of the project to study differences in teachers‘ reading styles across
classrooms. Certain aspects of the project cannot be discussed before data collection, but
you will be told about these at the end of the project.
RISKS
Potential risks to your child include negative feelings from talking about emotional
storybooks with teachers. The researcher will talk to teachers on a regular basis to
monitor your child‘s participation. If you think that your child is experiencing negative
feelings from the study, let a researcher or teacher know right away. Your child will be
removed from the study, and the researcher will talk with Head Start staff and
administrators to be sure that your child can get help from Head Start‘s mental health
services.
BENEFITS
Your child will get small-group academic attention from teachers in the study.
CONFIDENTIALITY
The data in this study will be confidential. Your name will not be written on the
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