CCFG Consent Form

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Research consent form for CCFG Interviews.

We are working to develop a new web tool that outlines climate-related funding that is available to Indigenous communities and local governments. To do this, we are asking community members that are responsible for identifying funding to support community projects to participate in an online video conferencing session to speak about their experience and to test new design approaches.

Audio Recording and Transcripts
During the study, the interviewers may take notes, make audio or video recordings or photographs to assist in the analysis. Your name and other identifiers will not be associated with the recordings, nor will the recordings be used for any purpose other than those described in this form or otherwise permitted by law. The recordings may be used for training or evaluation purposes.

All recordings, transcripts and notes will be stored for the duration of the project and then securely disposed of as transitory records in accordance with the Information Management Act and related policies.

Confidentiality
Your confidentiality will be respected.  We will de-identify all notes and ask that you not name yourself or others in audio or video recordings.  You can choose to not be included in those recordings.

In capturing individuals’ stories and experiences, personal information of a confidential nature may be shared during the interview. In compliance with the Freedom of Information and Protection of Privacy Act, all personal information will be protected using appropriate security controls.

Collection Notification
This information is collected by the Ministry of Citizens’ Services – GDX under section 26(c) and 26(e) of the Freedom of Information and Protection of Privacy Act, and will be used for the purpose of assisting analysis in the project described above. It may be used for training or evaluation purposes. If you have question about how your information is used, please contact:

Garrett Cormack
Director
garrett.cormack@gov.bc.ca
617 Government St.
Victoria, BC V8V 1X6
250-516-4179

I agree to being audio taped for the purposes described above.
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I agree to screen capture recording for the purposes described above.
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I understand the following:
  • I have read and understood the Participant Consent form
  • I have had the opportunity to ask question and have had satisfactory responses to my questions
  • I will receive a dated and signed copy of this form
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