Attachment I-2

Attachment I-2. Parental Permission Form Distribution Script - 06 08 2011.doc

2012 - 2014 National Youth Tobacco Survey (NYTS)

Attachment I-2

OMB: 0920-0621

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Instructions to be Read

When Distributing Permission Forms




Dear Teacher:


You may wish to read this as you distribute the parental permission forms to encourage student participation in the 2012 National Youth Tobacco Survey.

Thank you.



Our class has been selected to participate in the 2012 National Youth Tobacco Survey conducted by the Centers for Disease Control and Prevention. This survey is designed to focus on tobacco-related beliefs, attitudes, and behaviors, and exposure to factors that promote or discourage tobacco use. Your participation in the survey is very important since you represent thousands of students around the country. Each of you will receive a parental permission form to take home for your parent or guardian to sign. Please bring this form back in three days. You must return this form to take part in the survey.


IF YOU DO NOT HAVE A SIGNED PARENTAL PERMISSION FORM, YOU MAY NOT TAKE THE SURVEY.




File Typeapplication/msword
File TitleInstructions to be Read
AuthorSophia.L.Stringfello
Last Modified Byfdy9
File Modified2011-05-24
File Created2011-05-24

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