Study of the Turnaround Schoool Leaders Program

Contract Number: ED-PEP-11-O-0088/TO28

Task Order 28

Implementation Study of the
Turnaround School Leaders Program

OMB Package

Consent Forms

Appendix L. Interview Consent Form

August 23, 2016

Prepared for:

U.S. Department of Education

Office of Planning, Evaluation and Policy Development

Policy and Program Studies Service

Prepared by:

Westat

1600 Research Boulevard

Rockville, MD 20850-3129

(301) 251-1500

and

Policy Studies Associates

1718 Connecticut Avenue, NW, Suite 400

Washington, DC 20009

(202) 939-9780

Implementation Study of the Turnaround School Leaders Program

Research Participant Consent Agreement

The U.S. Department of Education’s Policy and Program Studies Service has contracted with Westat, a research company based in Rockville, MD, and its partner, Policy Studies Associates in Washington, DC to conduct an implementation study of the Turnaround School Leaders Program. As part of this study, we are talking to project coordinators, project staff, school district staff, and staff of other partners in your Turnaround School Leaders program. Interviews with project coordinators will take approximately 90 minutes. Interviews with other staff will take approximately one hour.

Your participation in this interview is required by the terms of the grant under which your program received funding (34 CFR 75.591). Responses to this data collection will be used only for research purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific individual. We will not provide information that identifies you to anyone outside the study team, except as required by law.

If you have questions about the study, please contact the study director, Dan Aladjem, at [email protected] or at (202) 939-5331. The project director, Allison Henderson, may also be contacted regarding the study at (301) 251-4291 or at [email protected].

We would like to record this session so that we don’t miss any of what you have to say. The recording from this interview and any transcripts will remain in the sole possession of members of the study team and the US Department of Education, and no individuals will be identified in any reports to the district or possible publications. Do we have your permission to:

• Interview you for this study? Yes No

• Record the interview? Yes No

Printed Name

Signature of Participant Date

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is: XXXX-XXXX. The time required to complete this information collection is estimated to average 90 minutes per response for project directors and 60 minutes per response for other staff.