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BLUE DOOR
Infant/Toddler
About Blue Door
GREEN DOOR
Preschool
About Green Door
YELLOW DOOR
Preschool
About Yellow Door
RED DOOR
Preschool
About Red Door-PS
RED DOOR
School Age
About Red Door-SA
Class Project Request
To be completed by course instructor.
Name:
Home Phone:
E-Mail Address:
Home Address:
MU Affiliation:
Department or College
(
Name:
)
Other
(
Please Specify:
)
Course Name and Number:
Student Information:
Undergraduate
(
Number Enrolled:
)
Graduate
(
Number Enrolled:
)
Class Project Dates:
Beginning:
Ending:
Group(s) Involved in Project:
(Mark all that apply.)
Blue Door-Infant (6 weeks - 15 months)
Blue Door-Toddler (16 months - 2-1/2 years)
Yellow Door - Preschool (2-1/2 years to 5 years)
Green Door - Preschool (2-1/2 years to 5 years)
Red Door - Preschool (2-1/2 - 5 years)
Red Door - School-Age(K-3)
Respective Parents
Respective Teachers
Purpose of Class Project:
Employed Procedures:
(including participants, activities, time and space requirements, etc.)
Will photographic images be collected?
Yes
No
Will videotape be collected?
Yes
No
How will Confidentiality of the Participants be Ensured:
I have read the
Observation and Class Project Policies and Confidentiality Statement
and have shared them with my students. We agree to abide by them.
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Copyright
© 2004 The Curators of the
University of Missouri
•
Revised:
15 Jul. 2008. •
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