STUDENT ASSENT FORM
Middle School Studentsí Intuitive Techniques for Solving Algebraic Word Problems
I have been asked to be part of a research project that will study how middle school students solve word problems.† The following are important parts of this project:
∑ With permission from my parent/guardian and my teacher, I will be working with Ms. Michelle Roehler in a problem-solving session.† We will be working at my school in a quiet area free from distractions.† I will have my teacherís permission to be away from my class.† Ms. Roehler will ask me some questions about math, watch how I solve word problems, and ask me to explain my work for her.
∑ I will be given three word problems to solve on my own.† These problems will not be graded, and I do not have to finish them.† If I am stuck, I can ask for help.
∑ During the entire problem-solving session, there will be a tape recorder recording everything we say.† Ms. Roehler will also be taking notes.†
∑ I am allowed to quit any time before or during my problem-solving session.† I am not required to participate if I do not want to.
∑ My name, school, and school district will never be used in this study to protect my confidentiality.
∑ The results from these sessions will be used to write a report that may be published in the future.†
I, ___________________, agree to be part of this research project.† I understand what is required of me and that I am allowed to quit at any time.
Studentís Signature:† _______________________________††††† Date:† ___________††††††††
Investigatorís Signature:† ____________________________††††† Date:† ___________††††††††