Rocklin Unified School District

Student Survey Passive Parent Permission

September, 2013

TO: Parents and Guardians of 7th , 9th and 11th Grade Students

FROM: Todd Cutler, Deputy Superintendent, Educational Services

RE: STUDENT SURVEYS

One of the Strategic Priorities of the Rocklin Unified Board of Trustees is to promote safe environments which positively focus on student learning and achievement.

We are collecting data in order to assess our progress and successes in these areas through the use of a student survey. Students in grades 5, 7, 9 and 11 participated in an on-line survey at school in Fall 2011. The survey has been revised and will be administered again during the month of October and November in order to enhance our understanding of some of the challenges our students face. The survey asks questions about tobacco, alcohol and other drugs as well as questions about their feelings of safety at school.

We are conducting this survey in partnership with the Coalition for Placer Youth (CPY), a federally funded Drug Free Communities grant program. For more information about CPY and its community prevention efforts, please visit their website at www.coalitionforplaceryouth.org

Student participation in the survey is completely voluntary and anonymous. No names or any other identifying information will be connected to the responses other than the student’s school of attendance. We hope that your child will participate so that his/her opinions and responses can be part of our data collection and analysis.

The surveys are available for your review from Monday, Sep 30 – Friday, Oct 4, 2013 at your school office or on-line at:

Grade 7: https://www.research.net/s/CPYRocklinMiddleSchoolParentPreview

Grades 9 and 11: https://www.research.net/s/RocklinHighParentPreview2013

If you DO NOT wish your child to take the survey, please sign and return the form below to your school by Friday, Oct 11, 2013.

If you have questions, please contact your school site.

Thank you for assisting us in addressing our strategic priority to promote student learning and achievement in safe, positive environments throughout our district.

Please complete and return this form if you do not give permission for your child to participate in this survey.

Parent Name (please print) ______

I do NOT give permission for my child,______, to participate in the Rocklin Unified School District Student Survey.

Signature ______Date ______