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Beyond the Bell Tools

Tool 10: Consent to Share Information

In Section 1: Management, you learned that there are a variety of reasons staff members are asked to share participant information and that it is important to establish policies and procedures to protect participants' privacy and to help staff members respond to requests for information.

Directions: This is a generic consent form that you can customize for your program. Consents should be obtained for a variety of reasons, including photo releases, collecting academic or other data on participant school achievement, for internal program evaluation and related data collection purposes, and sharing information among adults to promote the success of youth. We suggest getting this form signed at the beginning of the program cycle along with the enrollment form. If your program is recruited to participate in a research study of any kind, be sure to ask the researcher for informed consent materials and allow youth and staff members to participate only after they have completed the researcher's specific consent forms.