consent form for head teacher

Department of Psychology, University of York
[Name of Research Project]
Researcher: [Your name, for group projects include the names of all those who will be testing]
(Supervisor/s: name[s]).
This document explains why we are doing in this research project and sets out what will be
involved for the school.
What is the purpose of the study?
This research project is investigating [state aims in terms that could be understood by a nonpsychologist].
What sort of children do we need?
As part of this research we are looking for [e.g. 25 children, aged between 8 and 12 years, with
dyslexia] to take part in the study.
Who will give consent for a child to take part?
We will get consent form the parent or carer and from any child 14 or over (see attached
information sheet and consent form). It will be made clear that the study is entirely voluntary
and even having given consent the parent/carer is free to withdraw their child at any time
without giving a reason. We obviously also need your consent, and similarly, you can withdraw
from the project at any time.
What will be involved?
We will take every care to reduce to a minimum disruption to the school routine. We will need
[add requirements for testing space etc.]
The children will [Describe in non-technical terms what the children will have to do and how
they will be selected]
Every effort will be made to ensure that the research sessions are as enjoyable and relaxed as
possible for the children. The total testing time should not exceed [time].
Who will run the research sessions?
All our researchers have CRB clearance for working with children. [Miss/Mr/Mrs/Ms your name]
will meet the children taking part and run the sessions.
Will all the children's details and the assessment results be kept confidential?
Yes. All the information about participants in this study will be kept confidential and data will
be anonymous and stored securely.
We will not provide data about individual children to their parent/carer. We can provide data to
you if you request it. However, you should be aware that it has not been obtained in the proper
diagnostic conditions that you would expect from a Developmental Psychologist for example.
If you require any further information or have any questions about this study, please do not
hesitate to contact [Your Supervisor's Name].
Address: [Supervisor's Name] Department of Psychology, The University of York, York, YO10 5DD
Phone: 01904 43xxxx E-mail:
please complete for supervisor
Department of Psychology, University of York
[Name of Research Project]
Declaration of Consent
I have been informed about the aims and procedures involved in the research project described
I reserve the right to withdraw any child at any stage in the proceedings and also to terminate
the project altogether if I think it necessary.
I understand that the information gained will be anonymous and that children's names and the
school's name will be removed from any materials used in the research.
[Add instructions for returning this form]