Einwilligungserklärung Englisch Consent Form I am/We are the

Einwilligungserklärung Englisch
Consent Form
I am/We are the legal guardian(s) of my/our child
______________________________
(Child’s first and last names)
I/We have received the KOMPIK parent letter and the KOMPIK observation form and have
had the opportunity to read the form.
KOMPIK is a scientifically designed observation form that provides teachers with a
comprehensive picture of the development and interests of children between the ages of 3.5
and 6, in keeping with the educational mandate of the childcare centre.
The observation and the written record deal with 11 topics with varying numbers of related
questions. The gender and age of each observed child were also recorded and taken into
account during the analysis.
Consent to my/our child’s participation in the observation is voluntary; there are no negative
consequences for withholding consent.
I/We hereby agree that an educational specialist may observe and assess my/our
child, named above, using the KOMPIK observation form. Observations of the child’s
competencies and interests will be recorded on the form, and the results will be used
to design individualised support for my/our child and to plan the day-to-day work of
the childcare centre.
Any other use of the data is not permitted without my/our explicit consent.
I/we have the right to revoke, in writing, my/our consent at any time, effective for the future;
reasons need not be provided. Revocation of consent is to be submitted to the director of the
childcare centre in which my/our child is enrolled.
Place/Date……………………………………….
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Signature