Appendix B

Assent for Children
Assent to Participation in a Research Study

(To be read by the researcher at the beginning of the interview. One copy of this form will be left with the interviewee, and one copy will be signed by the participant and kept by the researcher.)

1. My name is Rhonda Rubin. You have probably seen me in your class at school.
2. I am doing a project about school and families. This is also called a research study.
3. I am asking you to be part of my project. You can help me learn more about what kids do with their parents at home and in class at school. I will also be talking to your Mom (Dad) and teachers.
4. I would like to make a video of you with your Mom (Dad) doing something like playing, reading a story together, or talking at dinner time.
5. If you don't want to be in my project, you don't have to participate. Remember, it is your choice and nobody will be upset with you if you do not want to be in the video. Even if you change your mind later and want to stop, you won't be in trouble.
6. You can ask me any questions now that you have about the study. If you have any questions later that you didn't think of now, you can ask me the next time you see me.
7. Your Mom (Dad) has said that it is okay for you to take part in my project. You can still decide not to do this. You should talk this over with your Mom (Dad) before you tell me if you want to participate.
8. Signing your name at the bottom means that you agree to be in this project. After you sign this, I will give a copy of this form to you and another to your Mom (Dad) to keep.