Register

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Account

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About You

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Letter of Consent

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Consent

Your Account

Filling out this registration will enroll you in Sharing the Stories. We want to be part of your journey and help you tell your story confidentially. We will provide you feedback right away and for as long as you keep logging back in. You can come back whenever you want to see results and add more information.

We’ll ask you some questions about yourself first to set up your account. Then we’ll tell you more details about consent to the research we’ll be doing. We’ll explain how we will use and protect your information, and how we will keep your name and identity totally separate from any information you provide. In order to proceed, you will be asked to click a consent button. If you don’t click the consent button, all the information you provided about you, will not be saved and will not have been stored anywhere.

If you have any questions or concerns, write info@studentscommission.ca or call 1 (416) 597-8297.

About You

Boy/Man
Girl/Woman
Genderqueer
Trans
Third gender
Gender-neutral
Two-Spirit
Agender
Bigender
Gender fluid
East African (e.g. Ethiopian, Eritrean, Somalian, etc.)
West African (e.g. Nigerian, Ghanaian, etc.)
Southern African (e.g. Zimbabwean, South African, etc.)
Arab
Caribbean
Chinese
Filipino
Inuk
First Nations - status or non-status
Japanese
Korean
Latin American
Métis
South Asian (e.g. Indian, Pakistani, Sri Lankan, Tamil, etc.)
Southeast Asian (e.g. Cambodian, Laotian, Indonesian, Vietnamese, etc.)
West Asian (e.g. Afghan, Iranian, Turkish, etc.)
North American (e.g. Canadian, American, Mexican, etc.)
Northern European (e.g. Swedish, Danish, etc.)
Western European (e.g. British, French, etc.)
Eastern European (e.g. Ukrainian, Russian, etc.)
Southern European (e.g. Greek, Italian, Macedonian, etc.)
Bisexual (attracted to more than one gender)
Heterosexual/Straight (attracted to others of the opposite gender)
Homosexual/Gay (attracted to others of the same gender)
Lesbian (woman attracted to other women)
Queer (anyone who does not identify as only heterosexual)
Questioning (someone exploring their sexual orientation)
Asexual (a person who has no sexual feelings or desires.)
Pan-sexual (not limited in sexual choice with regard to biological sex, gender, or gender identity.)
Atheist (actively does not believe in God)
Baha'i
Buddhism
Christianity
Confucianism
Islam
Jainism
Judaism
Hinduism
Indigenous Belief System
Personal Belief System
Shinto
Sikhism
Taoism
yes
no
I don't know
yes
no
one was
I don't know
yes
no
I don't know
yes
no
I don't know
English
French
First Nations Language
Arabic
Bangla/Bengali
Cantonese/Chinese/Mandarin
Filipino/Tagalog
German
Gujarati
Hindi
Inuktitut
Italian
Korean
Nepali
Punjabi
Russian
Somali
Spanish
Tamil
Twi
Urdu
Vietnamese
not at all
hardly ever
sometimes
mostly
always
not at all
hardly ever
sometimes
mostly
always
Birth/Adoptive mom(s)
Birth/Adoptive dad(s)
Step mom
Step dad
Guardian
Foster parent(s)
Other relatives
Brother(s)/Sister(s)
Adopted/Foster Brother(s)/Sister(s)
Girlfriend/Boyfriend
Partner/Spouse
My child/children
Aunt(s)/Uncle(s)
Grandfather/Grandmother
Parents share custody
Pet(s)
Roomate(s)/Friend(s)
Live on my own
Staff/Residents of group home
Staff/Residents of closed custody facility
yes
no

Letter of Consent

Study Title: Sharing the Stories

Ben Kutsyuruba, Faculty of Education, Queen’s University
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We are asking participants in this program to take part in a research study examining how youth and young adults engage in this program. If you agree to participate, your survey results will be added to the survey results of youth and young adults across the country. There are no known risks for taking part in this study.

There is no obligation for you to say yes to take part in this study. You don’t have to answer any questions you don’t want to. You can stop participating at any time without penalty. You may withdraw from the study for three months after completing the study by contacting Christa Romaldi at christa@studentscommission.ca. There are no direct benefits to you for participating in this research.

We will keep your data securely indefinitely. Your confidentiality will be protected to the extent possible by replacing your name with a unique code for all data and in all publications. The code list linking real names with unique codes will be stored separately and securely from the data. Other than the research team, only research assistants who have signed a Confidentiality Agreement will have access to any of the data.

We hope to publish the results of this study in academic journals and present them at conferences. All information will be presented at the group level. There will be no way to trace your responses directly to you.

If you have any ethics concerns please contact the General Research Ethics Board (GREB) at 1-844-535-2988 (Toll free in North America) or chair.GREB@queensu.ca.

If you have any questions about the research, please contact Dr. Ben Kutsyuruba at ben.kutsyuruba@queensu.ca or 613-533-3049 or Christa Romaldi at christa@studentscommission.ca or 416-597-8297.

This Letter of Information provides you with the details to help you make an informed choice. All your questions should be answered to your satisfaction before you decide whether or not to participate in this research study.

Keep one copy of the Letter of Information for your records.

Consent

I have read and understand the Letter of Information and Consent below and understand that:

  • My participation is voluntary
  • I can withdraw up until I click submit
  • I can choose not to answer any questions if I do not want to If I am over 12, I can give my own consent.

If I am under 12, I have included the email address (below) of my parent/guardian, and agree that they will be sent an email asking for their consent to have me participate in this program.

(Fill in only if you are under 12 and need their consent to participate.)

By selecting one of the following options, I am verifying that: I have read the Letter of Information and all of my questions have been answered.