Classroom Observation Consent and Approval Form

Observation Details

Observer Name Observer Affiliation/Institution Observation Date(s) Class/Grade to be Observed Purpose of Observation

Consent Statement

I understand that the purpose of this classroom observation is for educational or research purposes only. I consent to have my class observed as outlined above.

Teacher Consent

Teacher Name

Teacher Signature

Date

Administrator Approval

Administrator Name

Administrator Signature

Date