Purpose of This Form
This self-reporting form is designed to document and analyze the experiences of individuals in Canada who have faced governmental, police, or legal repression due to their Palestine solidarity activism. The goal is to:
- Identify trends in repression and institutional responses to Palestine advocacy.
- Provide data-driven insights to support activists, legal professionals, and policymakers.
- Strengthen legal and advocacy networks to better protect individuals facing persecution.
Who Should Complete This Form?
- Activists, students, academics, and community members who have experienced institutional pushback, censorship, or police intervention due to their advocacy for Palestine.
- Individuals who have been legally targeted, arrested, or interrogated in relation to Palestine-related activism.
- Anyone who has witnessed unfair or disproportionate policing, surveillance, or legal action against pro-Palestinian voices.
How the Data Will Be Used
All responses will remain strictly confidential and will only be used for research and advocacy purposes.
Participant Rights and Confidentiality
Confidentiality Notice: Participation is voluntary and all responses will be kept confidential and used solely for research purposes.Participation Consent: By submitting this form, you agree to participate in this study voluntarily.
The findings will be compiled into a research report to help inform legal efforts, policy advocacy, and community support initiatives.
Data will be used only for research and advocacy and research purposes and will not be shared with law enforcement or government agencies.
You may request to fully withdraw your contribution by sending us an email within two weeks of completing the survey.
All qualitative information used will be shared with participants upon request. You will have up to two weeks after receiving an email notification to respond—either by agreeing to its use, declining, or requesting modifications.
Contact and Support
If you have any questions, concerns, or would like to discuss your experience in more detail, please feel free to reach out (info@cjpmefoundation.org). Additionally, if you need legal support, mental health resources, or advocacy guidance, we are available to help connect you with the right organizations.
Your voice matters. By sharing your experience, you are helping document state repression and build stronger protections for activists in Canada.