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The National Day for Truth and Reconciliation honors the children who never returned home from residential schools, Survivors and their families, and communities. It is a day for sharing and a day for learning with Survivor Testimony and Indigenous voices key to raising awareness and educating all Canadians. Public commemoration of the tragic and painful history and ongoing impacts of residential schools is a vital component of the reconciliation process.

This discussion is intended to help ensure that commemoration funding for the National Day for Truth and Reconciliation meet the needs and the expectations of Survivors, their families, and the broader Indigenous community. If you would like to contribute to this discussion, please answer the three questions on the following page.

If you would prefer to give your answers verbally or confidentially, a one-on-one interview can be arranged. A Health Care Support Worker can be made available if you would like as well.

This survey is being conducted by the Atlantic Policy Congress of First Nations Chiefs Secretariat (APC) with funding from Canadian Heritage. Survey results will be aggregated and shared with the Government of Canada. Please refer to the consent form for additional information.

The Atlantic Policy Congress (APC) of First Nations Chiefs Secretariat (hereinafter referred to as “the host”) is facilitating engagement sessions to support Canadian Heritage and their commitment to engaging with Survivors, their families, and the broader Indigenous community on their needs and expectations for the National Day for Truth and Reconciliation.

YOUR PARTICIPATION IN THIS PROJECT
If you agree to take part in this engagement, you will be asked a series of questions either in person or in a virtual setting. All statements, documents, audio/video, or transcripts will be sent to and stored by the NCTR in a secure database. A third party will analyze the data and report on their findings to Canadian Heritage. Your information will be used to help inform commemoration for the National Day for Truth and Reconciliation.
Should you wish to receive a copy of the final report, please check the box below. This will be provided to you by the facilitator.

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* Please check this box if you would like to receive a copy of the final report.

VOLUNTARY PARTICIPATION
Participating in this project is voluntary. You can end your participation at any time. You do not have to answer any question you do not want to answer. There will be no consequences for you now or in the future if you choose not to participate.

RISKS FROM PARTICIPATING IN THIS STUDY
We acknowledge and understand that when discussing Indigenous experiences, topics related to discrimination and colonialism may arise and some may be triggered. In response, the facilitator will do their best to make sure you are comfortable during the session and to provide appropriate supports and aftercare.

CONFIDENTIALITY
Your participation and any contributions to this project will be kept confidential unless otherwise specified. No comments made by participants during the sessions will be personally attributed to them in any report or publication associated with this project published by Canadian Heritage or its representatives.

WITHDRAWING FROM THE PROJECT
Providing your information is voluntary. You may choose to stop the recording process or withdraw your consent at any time. If you withdraw your consent during the project, none of the information that you provided during the discussion session will be used in the final report.

NOTICE REGARDING COLLECTION, USE, AND DISCLOSURE OF PERSONAL INFORMATION
All records held by the NCTR are subject to the Manitoba National Research Centre Truth and Reconciliation Act, The Freedom of Information and Protection of Privacy Act, and the Trust Deed between the Truth and Reconciliation Commission of Canada and the University of Manitoba.

ACCEPTANCE
Please keep a copy of this consent form for your records.

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* I voluntarily agree to participate in this engagement. Your printed name below will be accepted as your signature (Print Name)

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* I agree to be contacted for follow up

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* What would best promote healing for Survivors, their families, and communities on the National Day for Truth and Reconciliation?

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* How do you feel the National Day for Truth and Reconciliation should be observed and commemorated?

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* How can non-Indigenous people and organizations participate in the National Day for Truth and Reconciliation?

If you feel triggered or distressed, you can access Hope for Wellness “On-line” Chat Counselling Services at:
www.hopeforwellness.ca

or the Indian Residential School Survivors and Family crisis phone line at:
1-800-721-0066

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