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PARENT PERMISSION
for Child Participation
SSU Student __________________________________________
Your child’s teacher is a graduate student in the Sonoma State
University (SSU) School of Education. An SSU education course
assignment is to administer assessments to a student. An assessment
report will be submitted to the University instructor and presented in
class. Your child's name will not appear in the report so that results
remain confidential.
Please check one of the following and return this form directly to the
SSU student or to your child's classroom teacher.
____Yes, my child has my permission to participate in this project.
____No, my child does not have my permission to participate in this
project.
Name of Child ________________________________________
Name of Parent _______________________________________
Signature of Parent ____________________________________
Date__________________________________________________