List the organizations/institutions where data collection and research will be undertaken.
(Please note that written approval from all organizations must be obtained before the
research can commence).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Will the research involve access to individuals, clients or records required from any organization?
YES / NO
If YES, has approval been received from these organizations?
YES / NO
Will you access individually identifiable information about participants from any
government department?
YES / NO
Or
from another organization (for example information from INAC concerning Indian registration,
education, funding, Hospital, or Health Canada, or provincial welfare, OHIP, health department,
or correctional services)?
YES / NO
If YES, list the government department(s) and/or organization(s)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Have you received approval to access this information from the government
Department/organization listed above?
YES / NO
Please share how you have engaged the community, or intend to engage the community, in
approving, advising on and managing your project:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Please indicate the measures you have taken to mitigate the risks of misuse or misappropriation of
tangible and intangible cultural property of Six Nations:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________