Registration Form for 2SLGBTQIA+ Focus Groups or Individual Conversations
By the Pride Society of the Comox Valley
Introduction
Hello! I'm Janine (she/her)–a gay, neurodiverse introvert and white settler with mixed european ancestry. I'm facilitating community conversations to capture the strengths and challenges of local 2SLGBTQIA+ members for resource development that affects policy and social change, and builds a safe, joyful, and connected community. I’ve had the joy of working alongside community advisors to guide this process, ensuring it aligns with the values of local 2SLGBTQIA+ members. Some groups will also have a co-facilitator to represent specific groups.
Information
Focus groups will be up to 90 minutes, and have 10 people/group. Focus group questions and outline will be shared ahead of time. We may receive more participants than we have the capacity to accept in groups. Selection will mainly be made on a first-come, first-served basis. If a group is full, and honorariums are available, we'll share additional options to have your voice heard. The survey will be available soon! Questions about the transparency regarding the process can be emailed to pscv2021@gmail.com.
Accessibility
Standard accessibility information: Funds may be provided if you experience additional barriers to participate in the focus groups and individual conversations. Additional accessibility requests can be completed in the registration form. Online option: camera can be on/off, pseudonyms can be used, and responses can be typed. In-person option: locations will be wheelchair accessible, neurodivergent friendly, and responses can be written and shared privately. Fidget toys, pens, paper, clipboards, and colouring will be available.
Supports
We will have a support person available at each focus group, along with resources and time to check in with a facilitator(s) afterward. In the weeks following each session, drop-in hours will be offered for counselling support, giving participants space to debrief. More information will be provided. Participants are welcome to provide feedback during and after the sessions.
Graphic Recording
Some focus groups will have a graphic recorder present. Graphic Recording is a process where experiences, ideas, and stories are shared by participants and translated into a visual narrative by an artist drawing in real-time. Participants are encouraged to contribute feedback to ensure their voices are represented as they wish. To learn about Carina, the graphic recorder, visit: https://www.carinamarienilsson.com/contact
Name
Pronouns (optional)
Email (or other contact information)
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example@example.com
Where are you located? (This question is included to ensure an authentic space for local voices).
*
Please select how you'd like to participate in sharing your experiences.
*
Focus group
One-on-one conversation
Do you prefer online or in-person?
Online
In-person
Both options are fine with me
I acknowledge that a graphic recorder MAY be present at the focus group session.
*
Yes
Yes, and I will send you my questions.
Not applicable because I am having a one-on-one conversation.
Anyone participating in a 90-minute focus group or a one-on-one conversation can receive a $40 honorarium. Please select your preferred method of payment.
Cash
E-transfer
I don't know right now
I'm participating as an organization and will be paid by my employer
Other
Will you have additional barriers or additional costs to attending that won't be covered by the honorarium? (e.g. care costs, transportation, having to miss work).
Yes
No
Other
Are you okay to have your voice recorded? (After notes have been taken, audio recordings will be deleted).
Yes
No
I need more information
Please select one focus group you feel MOST comfortable participating in. (Questions will be broad to capture intersectionality within specific groups.)
*
Two-Spirit, First Nations, Métis, and Inuit communities
Trans, Non-Binary, and Gender-Diverse communities
Black and People of Colour
Disabilities (invisible and visible)
Immigrants, Refugees, and Newcomers
Experiencing Poverty or Houselessness
Seniors (55+)
Youth (~12-24)
Parents who identify within the 2SLGBTQIA+ community
Organization or Professional that offers 2SLGBTQIA+ programs and/or services
Faith-Based and Religious
Living in a Rural or Remote Area
Not applicable because I am having a one-on-one conversation
If you are choosing to participate in a Rural or Remote focus group, please let us know if you prefer us to host a group in your area.
Please select accessibility needs.
ASL Interpreter
Language translation (please specify which language in the box below)
Masks are mandatory and room is well ventilated
Closed captioning for online
If needed, please describe additional accessibility and accommodation requests.
I'll be bringing a support person.
Yes
No
Maybe
I'll be bringing a support person.
Yes
No
Maybe
Snacks will be provided. Please list any dietary restrictions or suggestions!
Focus groups and one-on-one conversations will be held in March, April and May. Dates and times will be chosen by each group. To help with planning, please select which days and times you are likely to attend.
Thursday Morning (~10-11:30 am)
Thursday Late Afternoon (~3-4:30 pm)
Thursday Evening (~6-7:30 pm)
Friday Morning (~10-11:30 am)
Friday Late Afternoon (~3-4:30 pm)
Friday Evening (~6-7:30 pm)
Weekends
I'm signing up for a one-on-one conversation and can be contacted for availability.
Other
Anything else you'd like us to know? Questions and feedback about this form can be added here as well.
Please verify that you are human
*
Submit
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