Case Study Parent Permission Form

A researcher of (Name of School) will be working to complete his study on a particular subject during the current semester in conjunction with our school’s Elementary Education Program. The student is required to conduct a case study on several students in the subject area he/she is observing as part of the course.

The data that will be gathered will be considered with the utmost confidentiality. The purpose of this assignment is to give the researcher a first-hand experience in working with a student who is experiencing some difficulty in the areas of reading, mathematics, or writing.

Name:  %child_first_name%  %child_last_name%

Please put a check for your choice:

Options

I give permission to the student of (Name of School) to work with my child
I do not give permission to the student of (Name of School) to work with my child