Appendix C
ADULT ESL LITERACY IMPACT STUDY
STUDENT CONSENT FORM
I agree to participate in the Adult ESL Literacy Impact Study.
I understand that:
Participation in the study is voluntary; I can decline to participate in the study and still be placed into an ESL class.
The purpose of the study is to find out if instruction based on a new book is better at helping literacy students learn to read and speak English than the instruction usually used in my program’s literacy classes.
I will be placed in either a class that uses the new book or a class that does not use the new book, based on a random lottery process.
My participation in the study will last one term (either fall 2008 or winter/spring 2009).
I will be asked to participate in the following data collections:
A short (30 minutes, maximum) literacy test in my native language during program intake (fall 2008 or winter/spring 2009);
A short (30 minutes each, maximum) English literacy pre-test within the first two weeks of class, which will be audio recorded for scoring purposes; and
A longer English literacy test and an English speaking and listening test at the end of the term (60 minutes each, maximum), which will also be audio recorded.
I will be paid $40 after completing the tests given at the end of the term.
Study staff will also collect data from the program on my enrollment dates and attendance.
If I am randomly selected to attend the study class which uses the new book being studied, I will receive a free copy of the book. I may still have to purchase the program’s usual book for my class.
All information I give is confidential and will be used only for the study, except as compelled by law. My name will never be used in reporting the results of the study.
I will tell project staff if I move or change addresses.
If I have any questions about my participation, I may contact Larry Condelli, project director, at either [email protected] or 1-866-519-1884.
I understand the above and I agree to participate.
Name: ______________________________________________
Signature: ___________________________ Date: __________
ADULT ESL LITERACY IMPACT STUDY
TEACHER CONSENT FORM
I agree to participate in the Adult ESL Literacy Impact Study. I understand that:
The purpose of the study is to evaluate whether a systematic literacy book (Sam and Pat) is effective in improving literacy-level adult ESL learners’ reading and speaking skills.
The study is commissioned by the U.S. Department of Education's Institute of Education Sciences.
The study will last from the summer of 2008 through the spring of 2009.
I will be assigned to teach a class that uses the Sam & Pat book or a class that does not use the Sam and Pat book, based on a random lottery process.
If I am assigned to teach a class that uses Sam & Pat, I will attend a three day training during the summer of 2008 on the use of Sam and Pat. I also will participate in a short (less than one day) webinar refresher training in January of 2009. I will be compensated for my time and any travel expenses incurred.
If I am assigned to teach a class that uses Sam & Pat, I will receive a copy of Sam and Pat before the fall 2008 term begins. I will not share the Sam & Pat materials or instructional methods with other non-Sam & Pat teachers at my school during the study.
If I am assigned to teach a class that does not use Sam & Pat, I will receive $20 in materials funds in the form of a gift card. I will not use Sam & Pat books, materials or methods in my class during the study.
I will fill out the following forms or provide the following information as a part of participation in the study:
Teacher Data Form (two times, summer 2008 and spring 2009) for which I will receive a small ($15) stipend
Daily student attendance in the study class
As a part of the study, I will be observed in my classroom three to five times during the study.
All information I give is confidential and will be used only for the purpose of the study. The information that I provide will not be released in such a way that would enable someone to identify me, except as compelled by law.
Participation in the study is voluntary. If I have any questions about my participation, I may contact Larry Condelli, Project Director, at either [email protected] or 1-866-519-1884.
I understand the above and I agree to participate.
Name: ______________________________________________
Signature: ___________________________________________ Date: __________
File Type | application/msword |
File Title | ADULT ESL LITERACY IMPACT STUDY |
Author | Administrator |
Last Modified By | katrina.ingalls |
File Modified | 2008-07-25 |
File Created | 2008-07-25 |