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Protection of Conscience Project

Victim Worksheet & Survey

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  Confidentiality

VICTIM WORKSHEET

   
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  Purpose

E-SURVEY

   
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  Who should complete the surveys?

   
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  Instructions

   
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  Mailing address

   
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  Questions?

   
  CONFIDENTIALITY

 

  Information collected will be used only for the stated purposes. 

Information will not be shared except in accordance with your directions.

 

 

PURPOSE

BOTH surveys are intended to document the need for protection of conscience legislation.

The detailed MAIL-IN SURVEY will  help conscientious objectors gather material needed for grievances, human rights complaints or civil suits.

The general E-SURVEY provides the Project with information about the nature and scope of the problems faced by conscientious objectors.

Assistance
In some cases, it may be possible to refer a complainant to legal counsel or other appropriate source of assistance or support.
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WHO SHOULD COMPLETE THE SURVEY?

Anyone who, as a result of conscientious objection to medical procedures, has

  • experienced coercion

  • suffered discrimination or other adverse social, educational  or employment consequences

  • had an application refused

  • experienced coercive questioning or interviews during an application process

  • experienced discriminatory or coercive educational practices

  • had to participate in medical procedures despite conscientious objection. [Top]


INSTRUCTIONS

Victim Worksheet
Download, complete and keep the entire worksheet.  It will help you organize information that should be presented to a lawyer or human rights investigator.

Mail in only those parts of the worksheet marked "copy to Project". (Address) These sections do not contain information about other people, so you will not be accused of disclosing confidential information about someone else. 

E-Survey
Click on the link to complete the E-Survey on-line.[Top]
 


MAILING ADDRESS
The Protection of Conscience Project,
7120 Tofino St., Powell River,
British Columbia, Canada  V8A 1G3

QUESTIONS?

Please contact Sean Murphy (Administrator)
Tel: 604-485-9765   E-mail: protection@consciencelaws.org.
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