Applicant Information

Thank you for your interest in applying. Please read the information below before completing the application. Completion of the application will serve as providing consent to participate in the research study as described below. You must apply by Sunday, October 31st. Please note that you will receive a notification by email only if you are selected.
  • We are conducting a research study to collect public views about human gene editing in the United States. If selected, you will be participating in a 2-part online facilitated discussion forum that will take place between 5pm-8pm Eastern/4pm-7pm Central/3pm-6pm Mountain/2pm-5pm Pacific Time
    • Part I: Monday, November 8 and
    • Part II: Tuesday, November 9.
  • We are inviting your participation, by completing the prescreening survey (application) below to provide your demographic information, experience, and perspectives. We will choose 30 participants from the applicant pool based on a number of factors in order to ensure a diversity of background, experiences and perspectives among our participant group.
  • You will need a computer or tablet (such as an iPad) with a webcam, audio and video capability and stable Internet connection to be able to participate.
  • If selected, you will be invited to spend 6 hours total (3 hours each day) participating in the facilitated group discussion with other participants including breaks.
  • We will be collecting your anonymous worksheets, taking notes of our conversations, and recording the online sessions.
  • To participate, you must be willing to participate on a video meeting (using Zoom and other technologies), speak with other participants, and share your thoughts.
  • Your participation in this study is voluntary. Participants will receive a $100 Gift Card (American Express/Mastercard/VISA) by US postal mail approximately 3 weeks after the completion of the forum and signing an electronic form. You must be 18 or older to participate in the research study.
  • You must participate in both parts of the forum to receive your gift card.
  • Participants in the study will have the opportunity to learn about and express their views on human gene editing. There are no foreseeable risks or discomforts to your participation.
  • Your responses including (a) the demographic data collected in the prescreening survey (application), (b) information collected in worksheets and discussion notes, (c) event evaluation survey, and (d) optional post interview, will be anonymous. The results of this study may be used in reports, presentations, or publications but your name will not be known. Most results will only be shared in the aggregate form and any individual comments will remain anonymous.
  • The discussions may be recorded to allow the researchers to more fully explore the deliberations. All recordings will be kept in a secure location and be used only by the researchers to further our understanding of the deliberations that take place. In addition, any notes taken by the research team will be secured and used only by the research team for research purposes with all personally identifiable information removed.
  • If you have any questions concerning the research study, please contact the research team at: mahmud.farooque@asu.edu or 202-446-0397. If you have any questions about your rights as a subject/participant in this research, or if you feel you have been placed at risk, you can contact the Chair of the Human Subjects Institutional Review Board, through the ASU Office of Research Integrity and Assurance at (480) 965-6788.

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* 1. What is your name and contact information? Please note we need your real name, address and phone number to process your $100 giftcard. We will only use your contact information to correspond with you about your application for this study. We will never share this information with another party.

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* 2. Area where I live is:

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* 3. How did you hear about this program? What interested you to apply?

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* 4. What is your gender?

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* 5. What is your age?

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* 6. What race/ethnicity best describes you?

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* 7. What is the highest level of education you have completed?

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* 8. What is your household income per year?

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* 9. Which of the following best describes your occupational situation?

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* 10. If you are employed, what is your occupation?

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* 11. Have you previously participated in any focus group or public forum?

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* 12. If yes, what was/were the topic(s) of those focus groups or public forums?

The following questions will be used to make sure a diversity of opinions and experiences are represented during the focus group. If you would prefer not to disclose your views, please choose “Prefer not to answer.”

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* 13. How important is religion, faith, or spirituality to you?

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* 14. Many people feel that their political views are too complex to describe with a single label but if you had to choose one of the following categories, how would you describe your political orientation?

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* 15. In general, my overall health is...

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* 16. In general, I believe developments in science generally make people’s lives…

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* 17. Are you familiar with any of the following? If yes, please describe whether it is by virtue of your profession (your study or work) or lived experience (your own or someone you know).

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* 18. Please tell us which device you will be using to join the online forum. We recommend the use of a device with a keyboard as you will be typing free response questions during the discussion sessions.

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* 19. We want to make sure this event is accessible to everyone. What accessibility needs do you have?

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