Please note that protocols which do not provide sufficient information for the Ethics
Committee to make an adequate assessment may be returned for revision.
Section 2: Checklist
Please circle your response to each of the following questions:
Does the research involve participation of Aboriginal or Six Nations people who have been
selected as research participants because they are North American Indians?
YES / NO
Does the research involve any artifacts that are of cultural, spiritual or religious significance to
Aboriginal or Six Nations people?
YES / NO
Does the research involve an unusually dependent relationship between the researcher and any of
the research participants?
YES / NO
Could the research place research participants in an unusually vulnerable situation? YES / NO
Is there any potential risk (physical, emotional, social or legal) to individual participants’ well
being, beyond that normally encountered in everyday life, as a result of their involvement in the
research?
YES / NO
Does the research involve the administration or application of drugs and/or Clinical Trial
Notification Scheme (CTN) documentation?
YES / NO
Is there any reasonable likelihood that the research will result in the reporting of suspected child
abuse?
YES / NO
Is there any potential risk to the researcher’s safety, beyond that normally encountered in
everyday life, as a result of their involvement in the research?
YES / NO
Do you plan to vary the usual written consent processes?
YES / NO
Is the study known to involve research into illegal activities?
YES / NO
Does the study have potential legal implications for the researcher or the Six Nations Council?
YES / NO
Does the methodology of the research conform to the standards outlined in the Tri-Council Policy
Statement: Ethical Conduct for Research Involving Humans?
YES / NO
Have you applied for funding for this research?
YES / NO
If YES, please list the names of funding/grant bodies applied to and the type of funding sought:
_____________________________________________________________________________
_______________________________________________________________________
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