EDPR 410/420 Template for Parental Consent Letter for Media Documentation (on School Letterhead)
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Dear Parent/Guardian: Re: Parental Consent for Media Documentation I am a second-year Teacher Candidate in the Bachelor of Education program at Thompson Rivers University. I will be working with my Teacher Mentor, ___________________________, in your child’s Grade ______ class as part of my extended practicum. The practicum takes place over a three-week and ten-week period from September 2 to September 19, 2008 and January 5, 2009 to March 13, 2009. As part of the teacher education program, it is required that my teaching be videotaped. This may occur more than once during the extended practicum. The purpose of videotaping the class in session is to assess and evaluate my teaching skills. The tape is reviewed by my Faculty Mentor (liaison person between the school and TRU), my Teacher Mentor, and myself. The videotape will be kept in (Mr./Ms) _____________________________________’s office throughout the semester and erased at the end of the extended practicum to ensure strictest confidence. This letter is to obtain permission for your child to be in the classroom during the taping session(s). In addition, there will be times during my extended practicum where I will want to audiotape or photograph your child. Please complete the attached form and indicate whether or not you allow your child to be documented. If for any reason you do not want your child to be documented, please indicate on the attached form and your choice will be respected. Please return the attached form by _______________________.
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If you have any questions or concerns, please do not hesitate to call me or (Mr./Ms.) ________________________________ at the school (250-________________________).
_____________________________ Teacher Candidate Enclosure: Consent Form
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(School Letterhead Here)
Parental Consent Form for Media Documentation
I, _________________________________, give / do not give (circle one) permission to document
(Parent or Guardian)
my child, ___________________________________, for the purpose of teacher education training. I understand that I have the right to view all documentation and that the videotaping will be released only to the following people/organizations:
Teacher Mentor
TRU Faculty Mentor
Teacher Candidate
Name of Parent or Guardian (please print)
Signature
Date
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