How LGBTQIA+ Individuals Find and Use Supportive Communities
The email address you provide will be used to send you a copy of your completed form, the researchers contact information, and the consent form for your records. Additionally, this email will be usedto provide updates and the final research project to you. 
Sign in to Google to save your progress. Learn more
Email *
Consent Form

The purpose of this research is to collect information regarding how LGBTQIA+ individuals find and build supportive communities, both online and offline. The information you provide may be used in the researcher’s project and report for the class Anthropology 390: Community-Based Research Methods at Athabasca University. Information will be gathered through direct observation of virtual communities, reviewing local and online resources and community notes, and online surveys. The researcher will bring the information in the report back to the community for verification. 

You will be provided with copies of all of the information that the researcher gathers from you, and a copy of the final report, using the email you provided above. If you so desire, the information that you provide will be destroyed. If the original data (notes and recordings) are not returned to the participant, they will be securely stored by the researcher for 6 months, and will then be destroyed by shredding paper and erasing electronic files. 

All surveys will be anonymous. Only your email and demographic information will be collected (age, cultural background, gender identity, sexuality) but it will not be linked to your name. 

At all times you have the right to:
1. Refuse to answer questions.
2. Terminate your participation at any point.
3. Withdraw from the study at any time. In this case the researcher will only use information given by you with your permission. If you do not want him/her to use this information, the researcher will either destroy it or give it to you.

Please write todays date: *
Please grant permission by agreeing to the following statement:

I understand the purpose of this study and voluntarily agree to participate in this study on the date specified above. 
*
 Please indicate if you would like the information that you provide to be destroyed. *
Please sign your name below by typing your full name. 

By signing this document electronically, you acknowledge and agree that your electronic signature carries the same effect as a handwritten signature.

If you do not consent to the use of electronic signatures, please refrain from signing electronically and contact us to arrange an alternative method.

*
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report