Student Survey Consent Form
CONSENT TO PARTICIPATE IN A SURVEY AT BALTIMORE SCHOOL FOR THE ARTS
Dear Parent or Guardian:
Baltimore School for the Arts has begun the process of conducting an intensive equity audit and has selected Sage Wellness Group, a consulting company, to oversee the project. The purpose of an equity audit is to identify school strengths and areas of improvement, specifically related to teacher equity, programmatic equity, and student academic equity. A critical component of this audit is capturing the unique voices and perspectives of each member of the BSA community. As such, every BSA student will have the opportunity to participate in an on-line survey to provide their experiences as a student within BSA. Each student will receive an email containing a link to complete the survey, which will be comprised of both multiple choice and short answer options. The student equity audit survey will ask for student feedback around how they believe BSA supports all students regardless of race, gender, sexual orientation, and religious background. Your child’s participation will allow us to identify ways to strengthen current educator practices, while also allowing us to identify ways to ensure that BSA provides a safe and culturally inclusive environment for all students. If you give permission for your child to participate, please check the appropriate box below and return this form with your child to his/her teacher.
PARTICIPANTS: Current students enrolled at Baltimore School for the Arts.
PROCEDURES:
Beginning in April 2019, each BSA student will receive a link to complete an anonymous on-line survey. Survey results will be calculated, and specific themes will be included within the submitted Equity Audit report. Students will be asked demographic information such as race, gender, grade, however, no personal identifying information will be collected.
BENEFITS:
Participants may or may not benefit directly from their participation. Your student’s participation will help BSA administration and Board of Trustees improve student and family services.
CONFIDENTIALITY:
All information that is collected will remain strictly confidential.
IF YOU HAVE QUESTIONS:
Please contact Tara Doaty, Ph.D., Founder & Lead Consultant of Sage Wellness Group at tara@sagewellnessgroup.com or via phone at 443-380-0192.
VOLUNTARY PARTICIPATION:
Participation in this survey is voluntary. Your student may discontinue his/her involvement at any time without penalty.
Please complete the bottom of this form indicating consent by Thursday, March 28, 2019.
I consent to my child participating in the Baltimore School for the Arts survey *
Student's Name
Your answer
Homeroom Teacher
Your answer
Classroom *
Your answer
Parent / Guardian's Name *
Your answer
Date *
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