Privacy Disclaimer: This information is being collected under the Northwest Territories’ (NWT) Access to Information and Protection of Privacy Act (ATIPP) and will not be used or disclosed, unless allowed or required by this act or any other act. The survey responses will be held at the Department of Health and Social Services following the collection end date and safeguarded in accordance with NWT ATIPP legislation.
More information on ATIPP and the collection of personal information can be found here: NWT Access to Information and Protection of Privacy Act
This survey is voluntary; you may skip questions or stop the survey at any time. Your responses will help inform future recommendations for the Health and Social Services system.
Personal Information Sharing Consent Form
- I consent to the disclosure of my personal information that I have submitted to the Department of Health and Social Services, nursing regulators and academic institutions within the NWT for the purposes of the establishing the current status of IENs in the NWT.
- I understand and consent that my information will be used and disclosed to assess the number of IENs in the NWT, identify barriers to licensure, and understand IENs' nursing practice.
- I understand and consent that my personal information, without identifying factors, will be disclosed in a What We Heard document shared with the public.
- I understand that my information will be kept private and confidential in accordance with the NWT Access to Information and Protection of Privacy Act (ATIPP) and will only be used or disclosed for the purposes of establishing the landscape of IENs in the NWT, except where authorized or required by ATIPP.
- I understand that my data will be safeguarded in accordance with NWT ATIPP legislation.
