Consent to Conduct Individual Case Study

For EDUC 4290

Dear Parent or Guardian:

The individual who has contacted you is currently enrolled in a course entitled Modifying Instruction for Diverse Learners through the College of Education at UNC Charlotte. The purpose of this course is to assist teachers in working with diverse groups of learners within their classroom settings. A major component of this course requires students to conduct a case study focusing on an individual student.

The students enrolled in this course are being asked to write a brief description of the student and suggest possible modifications to instruction, curricula, assessment and/or the classroom environment to best meet the needs of the child/adolescent. Please be aware that if you agree to allow the UNC Charlotte student to work with your child, the name of your child’s school, your child, and the school system will not be used in the student’s final written product submitted to me at the end of the semester.

If you would like any additional information concerning this assignment or this course, please feel free to contact me (704) 687-8832 or email keanders@email.uncc.edu. I appreciate your consideration of this request and your assistance to the student. I also would appreciate any feedback you may have on how to improve this experience.

Sincerely,

Kelly M. Anderson, University of North Carolina at Charlotte

______I give my permission for _____________________to work with my child as a part of his/her clinical field

experience for the course Modifying Instruction for Diverse Learners.

______I do not give my permission for _________________to work with my child.

Signature of Parent/Guardian ___________________________________________________________________