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Consent form for Sibling/Parent Survey

 

Sibling/Parent Survey

Hi
My 3 students (Morgan, Elyse and Tyler) have been working on a project together to help the siblings (and families) of children with "special needs".  This is a collaborative project between Somers (where Morgan and Elyse go to school) and Yorktown (where Tyler goes to school and where I teach the science research program.).
 
The information below, that was sent out nationwide will help explain all of the details.

Any help that you could provide to participate and/or distribute the information so that they could get more input (surveys) from Somers families within the next few weeks, would be great. They would also appreciate families from other areas being able to participate, if you happen to know of anyone that you can pass this along to.

Thanks again for any help you can provide in distributing these.
Michael Blueglass

914-447-3568

Fax back to 914-248-9658

 
 
This is the official "Hello" letter that was sent out nationwide to accompany the attached survey.
 

 

 

Hi,
           Thanks again for considering to support the efforts of my students, Morgan Blueglass, Elyse Blueglass (Somers Juniors) and Tyler Lipperman (Yorktown Senior), with their (hopefully) helpful project. 
 
  

Their goal was to design a project that would hopefully help other children. They realized that when a family has a child with special needs, often the majority of their focus is on that child. They were curious about what impact having a sibling with special needs would have on children of different ages and family backgrounds. They consulted with numerous students and adults that have grown up with a sibling with special needs as well as input from many professionals in the field of special education.  Their research has been so well received that even Don Meyer (president + founder of www.siblingsupport.org) sent  out an email nationwide in support of their efforts.

 

Their survey, “The Effects of Children with Special Needs on Their ‘Typically’ Developing Siblings” takes a close look at the feelings, beliefs and values of "Typically developing" siblings.  They also have included a parent part of the survey in an effort to analyze if there is a correlation between the child's answer and the feelings, beliefs and actions of the parents.

 

They presented their research at the recent Westchester Science and Engineering Fair and won 1st place and a trip to the Intel International Science Fair in San Jose (in May). 

 

          They already have received over 180 surveys and were hoping to receive more within the next few weeks so that they can include your survey in their final analysis of the data.   (NOTE: you can mail this and the survey back to 4 Benjamin Green Lane, Mahopac, NY 10541 or  fax it to 914 248 9658 – separately from the survey, if you wish to maintain anonymity)

 

*** A few notes:

- Please encourage anyone participating to complete the survey and send it back by Saturday, April 4th, as we want to be sure to include as many people as possible before we start to do our final analysis of the data.

We are hoping to email you the findings within the next month or two so that you can share them with the families in your group.  It was the ultimate goal of Morgan, Elyse and Tyler's to be able to gain enough insight that they can really make a difference by helping the families that live this challenging situation every day.

Thank you.

 

Thanks again for helping my students to try and make a difference.  Please call or email with any questions.

Michael Blueglass

Somers parent and Yorktown HS Science Research Director
4 Benjamin Green Lane, Mahopac, NY 10541

phone 914-447-3568
fax 914-248-9658
email -  yorktownhusker@aol.com