Attachment K Teacher Survey Assent Letter

Att_1850-0814 Appendix K Teacher Survey Assent Form[1].pdf

An Impact Evaluation of a School-Based Violence Prevention Program

Attachment K Teacher Survey Assent Letter

OMB: 1850-0814

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Attachment K
Teacher Survey Assent Letter

Dear Teacher Survey Respondent:
Your school is participating in a national study of school-based violence prevention programs.
This study is funded by the U.S. Department of Education. An important component of the
study is an evaluation, conducted by RTI International, a research firm in North Carolina.
As part of this research study, we ask that you please complete the enclosed Teacher
Survey. The survey asks questions about your perceptions of the level of disruptive
behaviors in class, your experiences with victimization, and your feelings of safety in school.

The survey should take approximately 30 minutes to complete.
Your responses are extremely important to the success of the evaluation. The
information you provide will help RTI determine whether violence prevention programs
have a beneficial impact on the lives of children and youth in school. Any information
you provide will be kept confidential by RTI and other project research staff. School
staff will not see your responses nor will they know if you have or have not agreed to
participate.
Your participation in this research study is voluntary, and you have the right to refuse to
answer any question on the survey. There are minimal risks to you for participating. If
you feel sad or upset after completing the survey and want to talk to someone, you can
contact your county mental health center or your Employee Assistance Program.
After you have completed the answer sheet, please insert it in the envelope provided,
seal the envelope and return it to the field staff member at your school.
If you have any questions or concerns about the study, please call Dr. Suyapa Silvia
(Project Director at RTI) at 1-800-334-8571, ext. 5851 (a toll-free number). If you have
questions about your rights as a study participant, you may call the RTI Office of
Research Protection at 1-866-214-2043 (a toll-free number).
Thank you very much for your cooperation in this important endeavor.
Sincerely,
Suyapa Silvia
Project Director
Enclosures: Teacher Survey, answer sheet


File Typeapplication/pdf
File TitleStudent Survey
AuthorInformation Technology Services
File Modified2009-03-23
File Created2006-02-15

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