Parental Consent For Student(s) To Take Survey @ CJSHS
Please see below! We hope you will allow your child to participate in this important survey. Please complete the consent form below to give or deny permission for your child to complete the MRA (Measurable Results Assessment) survey. By completing the following consent form by Wednesday, November 16, 2022, your family will be entered into a drawing to receive Central Raider apparel for your immediate family members!

Parents/Guardians, 
Our school is implementing a whole-school transformational process called the Leader in Me, which teaches 21st-century leadership and life skills to students and creates a culture of student empowerment based on the idea that every child can be a leader. Our school will be conducting surveys to learn more about key areas of strength and areas of needed growth in our school. In order for us to have a holistic picture of what is going on in our school, we are asking all full-time staff members, parents/guardians, and students in Grade 7-12 to participate.

We welcome your feedback as we work to continuously improve our schools. This survey is completely anonymous and seeks honest input. Students and families will not be asked for their names on the questionnaire, nor will anyone be able to connect any individual student with his/her responses. School staff will not see any one student's responses but only summaries of results. Participation is completely voluntary. Your child may decline to participate in the survey or may simply skip any questions they do not wish to answer. If there are specific issues we can for you or your family personally, please contact us directly.

More information about Legislation HB-256 which requires schools to collect consent for non-academic surveys, the link for MRA Information & Possible Survey Questions that will be on the student survey, as well as the link for the community patrons to take the MRA survey can be found at https://www.usd462.org/page/hb-2567-information .

We hope you will allow your child to participate in this important survey. Please complete the consent form below to give or deny permission for your child to complete the MRA survey. By completing the following consent form by Wednesday, November 16, 2022, your family will be entered into a drawing to receive Central Raider apparel for your immediate family members!

For any questions or to learn more about the survey, please contact Mrs. Henning at jhenning@usd462.org. 

Section 1: Parent/Guardian consent for student to complete MRA - Measurable Results Assessment Survey at school. If consent to take the survey is given, a student survey will be administered to your student at school during the month of November 2022. 

Section 2: The parent/guardian survey takes about 12 minutes to complete and will ask questions about your child and about his or her experience in our school. If you have more than one child attending the school, you will be asked to think about the oldest child's experiences as you answer questions related to his or her growth. This survey is completely voluntary but we do hope to get feedback from one member of every household. Section 2 of the information below will include the Link for Measurable Results Survey for Parents & Community Patrons to take. Deadline to complete: Wednesday, November 23, 2022. https://www.leaderinme.com/s/central-jr-sr-high-school/families 

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Parental Consent for Student to Complete Measurable Results Survey at Central Jr/Sr High School *
Student Name #1 *
Student Name #2
Student Name #3
Student Name #4
Parent/Guardian Electronic Signature -  Please write your name below to indicate you’ve read this form and agree to the above information.  *
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