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To: Parents and Guardians
Topic: Student Release Form edTPA Teacher Certification Assessment
From: __________, Teacher Preparation Program Candidate
Albany State University, Institution
__________, Cooperating Teacher
__________, Building Principal
__________, School
Date: __________
I am a candidate in an initial teacher preparation program that is implementing the edTPA (Teacher
Performance Assessment)*, a national performance assessment for prospective teachers. Successful
completion of this assessment is required for teacher certification in the state of Georgia, effective
August 2015.
This project includes submission of short video recordings of my teaching in your student’s class.
Although the video recordings involve both me and various students, the primary focus is upon my
instruction, not on the students in the class. In the course of taping, your student may appear on the
video recordings. The videotaped lesson will be used for me to reflect on my teaching practice as part of
the edTPA and will be loaded in a secure-password protected electronic course management system.
Also, I may submit samples of student work as evidence of my teaching practice, and that work may
include some of your student’s work. No student’s name will appear on any materials that are
submitted.
Faculty, cooperating teachers, and/or teacher candidates associated with the program at Albany State
University and faculty associated with edTPA may see my video and student work samples. These
materials will be viewed only under secure, password-protected conditions, never posted on publicly
accessible websites, and will never reveal identities of children, schools, or districts.
This form continues on the next page and will be used to document your permission for your student’s
participation in these activities.
*For more information about edTPA, see http://edtpa.aacte.org/about-edtpa
