NOTICE TO PARENTS OF MEMBERS
SURVEY AT CLUB:
MARCH 4th- April 22, 2019
Our Club is taking part in an annual Survey that will be used to track the wellbeing of members in Boys & Girls Clubs nationally. Our Club is one of a group of Clubs across the country participating in this survey that asks how members feel about the activities and time they spend at the Club, education plans, and involvement in community service and work.
Additionally, the survey asks about the attitudes and health behaviors of Club members, including questions about nutrition and physical activity. Teen members aged 13 and older are asked additional questions around alcohol, tobacco and other drug use, fighting, arrests, and whether teens are sexually active.
Members will be asked to fill out one survey in the spring of 2019 during regular Club hours. The survey takes 20 - 40 minutes to complete, and will be administered either online or via paper & pencil scannable booklets. Participating in this survey will cause no risk to your child. The only potential risk is that some teen members might find certain questions to be sensitive. The survey has been designed to protect your child’s privacy. Members will not put their names on the survey, and no member will ever be mentioned by name in a report of the results. All information from the survey is being used to assess the wellbeing of Boys & Girls Clubs members and will be kept completely confidential. Only the Boys & Girls Clubs of America national organization that is conducting the survey will have access to the data. Others will see only reports of the information combined for groups of youth in the study or all youth at a Club. No reports will be shared that show your child’s answers on the survey.
Your child will get no benefit right away from taking part in the survey. The results of this survey will help your child and other members of Boys & Girls Clubs in the future by assisting all national Boys & Girls Clubs to develop programming that best meets members’ needs. We would like all members at our Club to take part in the survey, but the survey is voluntary. No action will be taken against the Club, you, or your child if he/she does not take part. Additionally, survey participants can skip any questions they do not wish to answer and may stop participating in the survey at any point without penalty. If you would like to see the survey, a copy is available at the front desk of the Main Club.
You may review the survey it will be available as follows:
Main Club - Front Desk - 9:00 am – 7:00 pm
Teen Center – Snack Bar – 3:00 pm - 6:00 pm
Magazine – Check-In Station – 3:00 pm – 6:15 pm
Please return this form only if you do NOT want your child to take part in the survey. If you do not want your child to participate check the box above, fill in the above information, sign this form, and return it to the Club by March 3, 2019. If you do not return this form by March 3, 2019 Boys and Girls Club of South Logan County assumes that you have granted permission for your child to participate.
If you have any questions about the survey, please call Amanda Webb at 479-675-2764. For questions or concerns about your child’s rights as a research participant, contact the 3C Institutional Review Board at nyoisupport@3cisd.com. For questions regarding the NYOI metrics, validity, and sampling, please contact measurement@BGCA.org.
Additionally, the survey asks about the attitudes and health behaviors of Club members, including questions about nutrition and physical activity. Teen members aged 13 and older are asked additional questions around alcohol, tobacco and other drug use, fighting, arrests, and whether teens are sexually active.
Members will be asked to fill out one survey in the spring of 2019 during regular Club hours. The survey takes 20 - 40 minutes to complete, and will be administered either online or via paper & pencil scannable booklets. Participating in this survey will cause no risk to your child. The only potential risk is that some teen members might find certain questions to be sensitive. The survey has been designed to protect your child’s privacy. Members will not put their names on the survey, and no member will ever be mentioned by name in a report of the results. All information from the survey is being used to assess the wellbeing of Boys & Girls Clubs members and will be kept completely confidential. Only the Boys & Girls Clubs of America national organization that is conducting the survey will have access to the data. Others will see only reports of the information combined for groups of youth in the study or all youth at a Club. No reports will be shared that show your child’s answers on the survey.
Your child will get no benefit right away from taking part in the survey. The results of this survey will help your child and other members of Boys & Girls Clubs in the future by assisting all national Boys & Girls Clubs to develop programming that best meets members’ needs. We would like all members at our Club to take part in the survey, but the survey is voluntary. No action will be taken against the Club, you, or your child if he/she does not take part. Additionally, survey participants can skip any questions they do not wish to answer and may stop participating in the survey at any point without penalty. If you would like to see the survey, a copy is available at the front desk of the Main Club.
You may review the survey it will be available as follows:
Main Club - Front Desk - 9:00 am – 7:00 pm
Teen Center – Snack Bar – 3:00 pm - 6:00 pm
Magazine – Check-In Station – 3:00 pm – 6:15 pm
Please return this form only if you do NOT want your child to take part in the survey. If you do not want your child to participate check the box above, fill in the above information, sign this form, and return it to the Club by March 3, 2019. If you do not return this form by March 3, 2019 Boys and Girls Club of South Logan County assumes that you have granted permission for your child to participate.
If you have any questions about the survey, please call Amanda Webb at 479-675-2764. For questions or concerns about your child’s rights as a research participant, contact the 3C Institutional Review Board at nyoisupport@3cisd.com. For questions regarding the NYOI metrics, validity, and sampling, please contact measurement@BGCA.org.
| passive_opt_out_consent_english_2019_-_main_club.pdf |
| passive_opt_out_consent_english_2019_-_teen_center.pdf |
| passive_opt_out_consent_english_2019_-_magazine.pdf |
