Parental Permission For Child Observation & Case Study
Psychology & Sociology Department - Odessa CollegeDate OC Professor's Name Psychology Student's Name Day/Time of Campus Class Internet Class ITV Class Center/School Used for Observation Mailing Address Director's/Principal's Name Phone # Classroom Teacher's Name Classroom # Note to student: You must get oral permission from the director or principal and the classroom teacher to observe a child in their school. Ask their help in getting this permission agreement completely filled in and signed by the parent or guardian. This must be done before you begin your case study. Get a copy made at the school. Have the classroom teacher keep one copy and return the other copy of the completed form to your child psych instructor within one week, either in person or by mail. Dear Parent or Guardian:
We are requesting your permission for an Odessa College Child Psychology student to observe your child in his/her classroom for a period of ten hours during the current semester, and to prepare a written case study about your child. This will enable our student to gain a better understanding of the physical, social, emotional and cognitive (mental) growth and development of young children. The knowledge gained will help the student as a professional in the field of health, education, social work, etc., and as a parent, now or in the future. This is a critical element of the learning/training process.
The student will not actually be working with your child. This is strictly an observation lab experience. Your child will not be made uncomfortable in any way. All information concerning your child is considered confidential. The case study will be read only by the child psychology student and professor. Parents, teachers, directors, or principals will not see the case study.
Please complete all blanks on the form below if you agree that we may work with your child
as described above. We greatly appreciate your cooperation in this educational experience.PARENTAL PERMISSION Date of Agreement My Child's Name Is Boy Girl My Child's Birthdate Is My Child's Age As parent or guardian of this child, I give my permission for to observe my child and prepare a written case study, according to the conditions detailed above. Printed Name of Parent or Guardian Phone Number Signature of parent or guardian Complete Mailing Address, Including Zip Code