Informed Consent to Participate
Brittany Babycos, from the Department of Institutional Research at the University of New Mexico-Gallup, is conducting an environmental scan. The purpose of the environmental scan is to gather information about the Gallup community to inform institutional policies and practices that will help UNM-Gallup students succeed while meeting the needs of the community.


Your participation will involve one survey that will take approximately 5-10 minutes to complete.  This survey includes questions about your opinions and experiences with UNM-Gallup.  There are no right or wrong answers.  Your involvement in the survey is entirely voluntary, and you may choose not to participate. There are no known risks for participating in this survey, but some individuals may experience discomfort or loss of privacy when answering questions.  Survey responses will be stored under a password protected account. 


Findings from the environmental scan will be used to inform UNM-Gallup policies and practices.  Results will apply only to UNM-Gallup policies and/or procedures, and cannot be generalized to other populations, groups, or institutions.  When published, the results of this survey will be presented in summary form only.  Survey participant names will NOT be collected. For questions or comments regarding this project, contact Brittany Babycos at (505) 863-7565 or

By participating in this survey, I certify that I understand this consent form and agree to voluntarily participate.

I certify that I am at least 18 years of age.