Participant (User) Registration

Please read the information in the consent box, enter your information in this form and then click on the submit button if you agree to participate.

Click here if you have read the information below and DO NOT agree to participate.

Login Information

This information will be kept confidential. It will not be stored with any of your data from the surveys and tools you fill out. You will need your email and user code (password) to login to our site and fill out the surveys and tools. For this reason, these three fields are required(*) for you to register.

Your email*:

Your user name*:
(how you would like to be called on your home page on this site)

Your user code (password)*:
Please use a secure password containing a minimum of 8 characters,
including at least one Capital letter and 1 number.

Information about your Activity

This information will be used by the system to generate a home page just for you. Your home page will appear after you login and give you a list of the surveys and tools you are being asked to fill out for your organization, program and activity. This information will be saved with your answers so the researchers can look at all participants answers from your program and activity. These fields are also required to register, so that your user home page can show you the correct surveys and tools for your activity.

Your role in this Activity:

If other, please specify:

CONSENT

I have read and understand the information in the Information and Consent section 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.

My parent's email:
(Fill in only if you are under 12 and need their consent to participate.)

I agree to participate in this Surveys and Tools Evaluation Program.

About You

Here are some questions about you. We plan to use this information to help us understand who is participating in the activities and programs that are being evaluated. This information will also help us understand how youth engagement may be similar or different depending on age, gender, ethnicity, language, income and what part of the country you live in. You do not have to answer anything you do not want to; all questions are optional.


What is your birthdate?
Year:


What gender do you identify with? (Please choose all that apply)
Boy/Man
Girl/Woman
Genderqueer
Trans
Third Gender
Gender-Neutral
Two-Spirit
I prefer not to say
My gender does not fit into any of these check boxes


The following question and answers are based on the Canadian Community Health Survey (CCHS).
People living in Canada come from many different cultural and racial backgrounds.
What cultural/racial group(s) do you identify with? (Please choose all that apply)
African
Arab
Black
Chinese
Filipino
First Nations - status or non status
Inuit
Japanese
Korean
Latin American
Métis
South Asian (e.g. Indian, Pakistani, Sri Lankan, etc.)
Southeast Asian (e.g. Cambodian, Laotian, Indonesian, etc.)
West Asian (e.g. Afghan, Iranian, Turkish, etc.)
White
I prefer not to say
My cultural/racial group does not fit into any of these check boxes


Do you consider yourself to be... (Please choose all that apply)
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)
I prefer not to say
My sexual orientation does not fit into any of these check boxes


Were you born in a country other than Canada?


Were your parents born in a country other than Canada?


Do you live in a town or community that is smaller than 10,000 people?


Do you live more than an hour's drive from a city?


When you are at home or with your family, what language(s) do you usually speak? (Please choose all that apply)
I prefer not to say
English
French
First Nations Language
Speak another language


Do you have enough money to meet your basic needs (food, housing, clothing, health care)?






Do you have enough money (from a job, parents/guardians, etc.) to do the fun things you'd like to do?






Who do you live with? (Please choose all that apply)
Birth/Adoptive Mom
Birth/Adoptive Dad
Step Mom
Step Dad
Guardian
Foster Parents
Other Relatives
Brothers/Sisters
Girlfriend/Boyfriend
Partner/Spouse
My Child/Children
Roommates/Friends
Live on my Own
Staff/Residents of Group Home
Staff/Residents of Closed Custody Facility
I prefer not to say
Other


What city or town do you live in?

What province/territory do you live in?

If you live outside of Canada, what country do you live in?

What is your postal code?

What grade are you in?

For Admin Use Only:

If you are entering paper copies for this event, please enter the Paper Code
(from the ID box at the top of the sheet) here:


SUBMIT YOUR REGISTRATION

CAPTCHA Image

Enter code: [ Different Image ]


If you have checked the consent box (above) and entered the code, then click to register for Sharing the Stories.

Click here to review the consent form.

Information and Consent

CONSENT

I have read and understand the information 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

INVITATION

In order to better serve the needs of youth, we are asking for your input to evaluate the program, event or activity you are attending. Your input will help us better understand your experience of the program, event or activity, its impacts, and how to improve it in the future. Also, your input will be added to the input of young people from other programs and organizations to help us better understand young people’s engagement more broadly.

WHO ARE WE?

We are researchers and staff from the Centre of Excellence for Youth Engagement. Our Centre is a group of people and organizations interested in finding out about young people's activities, like yours. We are working with a lot of organizations like the one you are involved with, to help people learn more about how to make good youth programs even better.

WHAT'S INVOLVED?

If you decide to help us in our Sharing the Stories Evaluation Program, you will fill out a selection of short online surveys. There are questions about the activities you do in your organization, your experiences in those activities, some general information about you (your age, for example) and what you thought, felt and did about your experiences. We have explained the study to your organization and the research ethics committees of the researchers we work with, and they thought it was okay for us to ask you to help in the research.

WHY SHOULD I FILL OUT THE EVALUATIONS?

This is a fairly new program that we are still trying out. It is important for us to learn what you think about the evaluations. For example, are they easy to understand? Are we asking the right type of questions? We will use your comments to improve the surveys and tools so they will work better in the future. You also will be helping help the Centre and other people who work with youth to learn more about youth engagement, such as what makes activities good and how activities can be improved, as you see it. We will use this information to help adults and youth work together.

DO I HAVE TO FILL OUT THE EVALUATIONS?

No, you do not have to do the evaluations or answer any questions that you do not want to answer. Nothing bad will happen to you if you choose not to be in our study. Your organization and activity leader will not know whether you fill out any of the evaluations and your decision will not affect the services you receive, your involvement with the activity or the leaders, or current/future employment at your organization.

WILL ANYONE BE ABLE TO TELL WHAT I ANSWER?

All personal information (for example your name and email) will be kept strictly confidential. Your name will not be stored with the survey - just a code number. If you fill out the survey again, we will be able to see how your answers may have changed over time. Only the web server manager will be able to match your name with your answers to our questions. No one from your group will know how you answer and we will not use your name in any reports from this research. We will take all of the answers and report the results for everyone as a group.
However, there is one situation in which we cannot keep information confidential. Sometimes, a young person tells us something that makes us believe that he or she is in danger, or that someone else is about to be hurt. If you tell us something like that, the law requires us to tell someone who can help.
We will keep the computer files of the data at the Centre of Excellence for Youth Engagement. The computer files will be kept indefinitely until all of our analyses are finished. Researchers at the Centre (including their assistants and students) will be able to use this computer data. We will also share the data with your organization without any identifying information so that they will not be able to tell who answered what.

WHAT WILL YOU DO WITH THE RESULTS?

The results will be presented in reports, which may be found in scientific journals, put onto websites, shared in workshops, and presented at conferences. You can find our results on our website (www.engagementcentre.ca), starting in about six months. If you are doing this as part of a group activity, we will send your group leader a summary of the results. We will ask your leader to share the results with you so that you can learn what all the young people, as a group, said about their activities.

ARE THERE ANY RISKS IN FILLING OUT THE SURVEY?

Most young people who have filled out our surveys have said that they thought it was a good experience. But sometimes, young people have said it made them realize that they weren't as involved in activities as they wanted to be and that made them feel a little sad. That could happen to you. If it does, let us know or talk to your group leader. We know lots of ways to help youth get more involved.

WHO SHOULD I CONTACT IF I HAVE ANY QUESTIONS?

If you should have any ethical concerns about the study, they may be directed to the Chair of the General Research Ethics Board at chair.GREB@queensu.ca or 613-533-6081

If you have any questions about this study, please contact Nishad Khanna or Stoney McCart (see below).

PLEASE PRINT OR SAVE THIS INFORMATION PAGE SO YOU KNOW HOW TO CONTACT US!


Principal Investigator:
Sharif Mahdy
Director
The Students Commission
23 Isabella St.
Toronto, ON M4Y 1M7
416-597-8297
sharif@studentscommission.ca

Research Coordinator:
Nishad Khanna
Centre of Excellence for Youth Engagement
Victoria, BC
nish@studentscommission.ca

Director, Centre of Excellence
for Youth Engagement:
Stoney McCart
The Students Commission
23 Isabella St.
Toronto, ON M4Y 1M7
416-597-8297
stoney@studentscommission.ca