Anglophone South

SCHOOL DISTRICT

PARENT / GUARDIAN CONSENT

INDIVIDUAL EDUCATIONAL ASSESSMENT

I ____________________________________________________________________ hereby freely authorize a

(Parent / Guardian)

Resource Teacher to individually assess my child _______________________________. This assessment may

(Child’s Full Name)
include the administration of various measures of reading, mathematics, spelling, vocabulary development,
listening comprehension and oral and written expression.

Parental consent for an individual assessment is valid for one year from the date of signature. I understand that
I have the right to withdraw my consent at any time.

DATE: ____________________ SIGNED:

__________________________________________________
(Parent/Guardian Signature)