Bay County Diversity, Equity, and Inclusion Community Survey Consent Form

Project Title:
Bay County Diversity, Equity, and Inclusion Community Survey

Versión en español disponible aquí

Principal Investigators:
Ken Jolly, Ph.D.; Evelyn Ravuri, Ph.D.

Funded by:
Bay Area Community Foundation

Purpose:
The following survey is designed to assess your experiences with inclusion and equity in Bay County. The collective voices of community members of Bay County will help agencies within Bay County
better support and enhance inclusion and equity in our community. We ask that you be of at least 18 years of age and a resident of Bay County.

You will be asked questions concerning your economic and social well-being at the beginning of the survey. You will then be asked a series of questions concerning your experiences with inclusion and equity in Bay County. Next, we ask about your experience with law enforcement agencies in Bay
County. Lastly, you will be asked about your experiences with the Bay County school system. Each of these questions requires selecting an answer that best reflects your situation/experience. Please answer the survey based upon your personal experiences. Several of the questions allow for written
comments if desired. The survey should take about 15 minutes.

Possible Risks:
We anticipate risks to be minimal. In several cases respondents may feel somewhat uncomfortable answering a question. The respondent may skip any question which makes them uncomfortable. If the respondent still feels uncomfortable, the respondent may withdraw from the survey.

Participant Rights:
If you choose to complete this survey, you have the right to be treated with respect, including respect for your decision whether or not you wish to continue answering questions. You are free to stop at any time.

Benefits of Participation:
You will be able to relate your experiences with inclusion and equity in Bay County. The aggregate results of the survey will help guide Bay County agencies in improving equity and inclusion in Bay County.

Confidentiality:
Your responses to this survey will remain anonymous. There is no identifying data to trace your responses on this survey back to you.

Questions or concerns about this survey:
If you have any questions concerning this survey, contact us promptly. You can email Evelyn (eravuri@svsu.edu), Ken (kjolly@svsu.edu), or Diane Fong (dfong@bayfoundation.org). You may also contact the Chair, Human Subjects Institutional Review Board (989-964-7488; irbchair@svsu.edu) if
questions or problems arise during the course of the survey.


Question Title

* 1. I have read the information  presented above regarding the Bay County Diversity, Equity, and Inclusion Community Survey. I am at least 18 years of age and a resident of Bay County, and I consent to providing my responses in the survey.

 
6% of survey complete.

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