Active Consent Guidelines

An active consent form should have the following elements:

• Background information of the study and description of the survey - specifically where the parent could go to locate the survey should they choose to review it
• Length of time to take survey
• Statement to ensure child’s privacy
• Date permission form is due
• Contact information for requestor
• Information for parent to fill out:
  • Child’s name
  • Child’s grade
  • Parent signature
  • Date
  • Check box (for whether or not permission is granted to participate in the survey)