Grantee Survey – Youth Empowerment Stream Winter 2021-2022 Which project are you a member of? (Select one)*AYDA Young Woman and Girls ProgrammingAnishnaabe Kwe Ribbon SkirtsIvviulutitThe Beading CircleTkaronto Plant Life CollectiveTRACKS Youth Mentoring CircleTsá Tué Youth Council ProjectGold River March BreakIndigenous Youth of Outreach LearningTiwšamstawɬšt [tiw-shum-staw-tl-sht] We will teach each otherResurgence 1 & 2: Indigenous Youth Art ExhibitionRainbow Sidewalk ProjectAboriginal Youth of Prince Edward Island (AYPEI)BRANCH- Building Resilience with Art Native Culture and HealingNot on this listI don't knowThe name of the organization is provided by the activity leader(s).Are you a support person (chaperon, parent/guardian, teacher, etc) for a youth participant?YesNoPlease enter your current postal code (e.g. A1B2C3):* Which of the following best describes where you currently live?*UrbanSuburbanRuralRemoteOn-reservePrefer not to sayWhich of the following genders do you identify with? (Select all that apply)* Cisgender Woman Cisgender Man Transgender Woman Transgender Man Non-binary Two-Spirit Agender My gender is not listed here Prefer not to say If your gender is not listed above, please share the gender you identify with: Do you identify with any of the genders or sexualities under the LGBTQIA2+ umbrella?*YesNoUnsurePrefer not to sayHow old will you be when the program starts? Please enter the number representing your age*Which of the following languages do you most often use at home? Select all that apply.* English French Indigenous language(s) My language(s) is (are) not listed here Prefer not to say What is the highest level of education you have completed?*Elementary (Grade 6)Middle School (Grade 9)High School (Grade 12)College CertificateCollege CertificateCollege DiplomaBachelor’sMaster’sPhDFurther credential in progressPrefer not to sayHow many years of work experience do you have? (This includes all types of full or part time work)*I have no work experienceLess than 1 year1-3 years3-5 years5-7 years7-10 yearsOver 10 yearsPrefer not to sayWhich of the following demographics do you identify with? Select all that apply.* Indigenous Black Person of colour Settler Refugee My demographic is not listed here Prefer not to say Which Indigenous group do you identify with? Select all that apply (This is a self-identification question, you do not need to have Indian Status or be recognized by the government)* First Nation Métis Inuit My Indigenous identity is not listed here Prefer not to say Do you identify as a person living with a disability? (This is a self-identification question, you do not need to have an official diagnosis.)*YesNoUnsurePrefer not to sayConsent* I agree with the Privacy & Consent StatementThank you for participating in this online survey to assess the reach of our activities. CRE will share the results of this survey in a highly aggregated report (no unique identification) to our program funder. Your participation in this survey is voluntary. You may refuse to take part in this survey, skip questions or exit the survey at any time without penalty. You will receive no benefits from participating in this online survey, but your responses will help us improve the program. There are no foreseeable risks involved in participating in this online survey. If you feel you have not been treated according to the descriptions in this statement, or that your rights as a an evaluation participant have not been honored during the course of this program, or you have any questions, concerns, or complaints that you wish to address, please contact CRE’s Privacy Officer James Arruda at james@canadianroots.ca. You may print a copy of this consent for your records. Clicking on the “Agree” button indicates that: You have read the above statement; You voluntarily agree to participate.CAPTCHA