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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)