Reading & Dyslexia in Deaf Children
A City University Project

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Informed consent for parents

Posted on June 28, 2013 by admin

If you would like your child to take part, please complete the online form below. Our Research Assistant will then contact you.

Alternatively, if you would prefer to print and post the form, you can download and print the form here M and post it to:

Catherine Barnett, Research Assistant
Department of Language and Communication Science
School of Health Sciences
City University London
Northampton Square
EC1V 0HB

Informed Consent Form for Parents

* (denotes required field)

I agree to take part in the above City University research project. I have had the project explained to me, and I have read the information letter for parents, which I may keep for my records. I understand that agreeing to take part means that I am willing to:

allow my child to be assessed at school at convenient times during school hours
allow some of the assessments to be audio and video recorded
agree to answer some questions about my child’s development and background

I consent to the use of sections of the anonymous audio and video tapes in teaching and in research presentations:*

YES
NO

I consent to my child’s teacher receiving a summary of my child’s assessment results:*

YES
NO

Data Protection

I understand that any information I provide is confidential, and that no information that could lead to the identification of any individual will be disclosed in any reports on the project, or to any other party. No identifiable personal data will be published. The identifiable data will not be shared with any other organisation.

I agree to City University recording and processing this information about my child. I understand that this information will be used only for research purpose(s) and my consent is conditional on the University complying with its duties and obligations under the Data Protection Act 1998:*

YES
NO

I understand that participation is voluntary and that we can choose not to participate in part or all of the project and that we can withdraw at any stage of the project without being penalised or disadvantaged in any way:*

YES
NO

Results

I understand that a summary of results will be produced and provided firstly to me and secondly to relevant staff at my child’s school with my permission.

I understand that data gathered will be kept securely for five years and then destroyed.

I understand that the quotations from the interview data will be made anonymous when writing research findings. These may be used for reference and discussion in PhD thesis, in journal papers or in conference presentations.

Please indicate if you consent for these quotations to be used in this manner:*

YES
NO

Name:*

Childs Name:*

Address:

Telephone Number:*

E-Mail Address: