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Parental Consent for Student Online Survey

TO: Parents/Guardians

FROM: Joseph J. Occhino

DATE: October 19, 2023

SUBJECT: Parental Consent for Student Online Survey

TIME SENSITIVE: Friday, November 3, 2023


Dear Parents/Guardians:


Northern Highlands is conducting a school-wide survey about student health and well-being called the JED High School Student Survey. Your student is being asked to participate, along with students at other high schools across the country. Your student’s responses will help improve our understanding of how schools can support student mental health more effectively.  This survey will assist Northern Highlands in learning about mental health trends in our community.  In addition, the data gathered will be used to evaluate our current wellness program offerings,  inform future programs, and help write grant proposals.


Please know that students will not put their names on the survey, and your child’s anonymity will be completely protected. Your student’s responses will be kept anonymous and secure, and will not be connected with their name, email, or any other information that identifies them. In addition, your child can refuse to answer any question by simply leaving the question blank on the form. The computer-based questionnaire that your child will fill out will be administered during the school day and will take approximately 30 minutes to complete. 


We are asking that all parents/guardians give permission for their child to take the survey. The success of this effort depends largely on the level of participation. Please grant your child permission to participate in this survey so we may better understand and educate the children of the Northern Highlands school community on positive mental health practices.


If you would not like your student to participate in the survey, please fill out this consent form by Friday, November 3, 2023. If we do not hear from you, your student will be invited to participate.


If you have any questions or would like to see the actual survey, please refer to the JED Survey questions or contact Dr. Verdicchio at ext. 589.


Thank you in advance for your support and cooperation.




Joseph J. Occhino



Northern Highlands Regional High School

NHRHS Website