This consent form outlines the details of a classroom-based research project involving children. Parents will provide consent for their child's participation, which will involve an initial assessment, working with a pre-service teacher for approximately 10 days on an intervention, and possible final assessments. Work samples such as drawings may be collected and audio recordings made. All information collected will be kept confidential and children will not be identified in presentations or written reports. The only exception is if documents are legally required.
1. Consent Form for Parents and Children
Associate Professor Grace Oakley
Graduate School of Education
The University of Western Aust ralia
M428, 35 St irling Highway,
Crawley, WA, 6009
Telephone: +61 8 6488 2301
Fax: +61 8 6488 1052
Email: grace.oakley@uwa.edu.au
CRICOS Code: 00126G
I have read the information provided and any questions I have asked have been answered to
my satisfaction. I have explained the project to my child. I agree for my child to participate in
this intervention, realising that I may withdraw my consent at any time, without reason and
without prejudice. I understand that my child’s participation is voluntary.
I understand that participation in the classroom-based research project will involve my child
undertaking an intervention for approximately 10 days. This will involve a diagnostic
assessment or test, talking to a pre-service teacher about the intervention, and may include
some final assessments or tests. It may involve the collection of work samples such as
drawings and/or written or verbal descriptions. These verbal descriptions may be audio-recorded.
I also understand that some photographs may be taken of my child’s work.
I understand that the information collected from my child will be kept confidential, will only be
used for the purposes of this project, and my child will not be identified in any written
assignment or presentation of the results of this project. The only exception to this principle
of confidentiality is if documents are required by law. I have been advised as to what data is
being collected, what the purpose is, and what will be done with the data upon completion of
the research.
_______________________ ______________ ______________________
Name of parent Date Signature
Approval to conduct this research has been provided by the University of Western Australia, in accordance with its ethics rev iew
and approval procedures. Any person considering participation in this research project, or agreeing to participate, may raise any
questions or issues w ith the researchers at any time.
In addition, any person not satisf ied w ith the response of researchers may raise ethics issues or concerns, and may make any
complaints about this research project by contacting the Human Research Ethics Of f ice at the University of Western Australia on
(08) 6488 3703 or by emailing to hreo-research@uw a.edu.au
All research participants are entitles to retain a copy of any Participant Information For and/or Participant Consent Form relating
to this research project.
2. _______________________
Name of child
UWA Ethics Approval Number: RA/4/1/6903
The Human Research Ethics Committee at the University of Western Australia requires that all participants are informed that if
they have any complaint regarding the manner in w hich a research project is conducted, it may be given to the researcher or,
alternatively to the Secretary, Human Research Ethics Committee, Registrar’s Of f ice, University of Western Australia, 35
Stirling Highw ay, Crawley, WA 6009. All study participants w ill be provided w ith a copy of the Information Sheet and Consent
Form for their personal records.