Request Access to Restricted Data

Only registered community members of the Urvashi Vaid Data Portal are eligible for access to restricted data.

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Name *

First

Last

Email *

Subject *

(Required Vaid Approval)

Brief Research Proposal *

Maximum 300 words

Short Evaluation of Analytical Data *

Maximum 500 words

Checkboxes *

• I Want to Use Restricted Data for Community Purposes Only.
• I Intend to Use Restricted Data for Community Purposes and Research Purposes.
• I am a Co-Author of a Registered Community Member Approved for Restricted Access for Research Purposes.

IRB Approval (Requred for Access to Research Purposes)

Provide institutional information about IRB approval, including name of institution, department or program, IRB approval #, data for approved use of data, principal investigator for study, and registered co-author.

Study IRB # (Required for Access for Research Purposes)

Co-authors: Use Registered Co-Author Information

IRB-Granting Institution (Required for Access for Research Purposes)

Co-authors: Use Registered Co-Author Information

Department or Program (Required for Access for Research Purposes)

Co-authors: Use Registered Co-Author Information

Name of Registered Co-Author (Required for Co-Author Approval)

Only required for Co-aiuthors

I accept all terms and conditions for use of restricted access to Urvashi Vaid Data Portal *

• I have reviewed, understood, and acknowledged the terms and conditions of access to the Data Portal for community purposes.
• I do not intend to use the data for research purposes.
• I intend to use the restricted data for research purposes.
• I have received IRB approval for use restricted respondent data for research purposes
• I have provided the Study IRB # (Required to Use Restricted Data for Research Purposes)
• I have indicated the name of the IRB-Granting Institution
• I have Indicated the Department or Program where I am conducting research.
• I have completed all fields required fo apply for restricted respondent data
• I will cite the source of data in all research products. Suggested Citation: Sewell, Alyasah Ali and Sutherland, Carla. 2023. “Data Portal of the National LGBTQ+ Women’s Community Survey, 2021-2022.” Justice Work: New York, NY. Retrieved June 12, 2023 (www.lgbtqwomensurvey.org/survey/dataportal) | (Sewell and Sutherland 2023)
• I will provide a copy of work created from use of the data
• *I have submitted my Secure Data Plan to alyasah dot ali dot sewell at emory dot edu.
• *I have submitted my documentation of IRB-approval to alyasah dot ali dot sewell at emory dot edu
• NO WARRANTIES AND NO LIABILITIES

Co-authors are required to complete fields for access for research purposes. Co-authors are not required to submit documents.

Signature *

I accept the terms and conditions of use of restricted respondent data from the Urvashi Vaid LGBTQ Women’s Community Survey.

Print Name *

First

Last

I accept the terms and conditions of use of restricted respondent data from the Urvashi Vaid LGBTQ Women’s Community Survey.

Today's Date *

yyyy/mm/dd

Submit

Applicants for access to restricted data must be registered for use of the Urvashi Vaid LGBTQ Women’s Survey for community purposes.

All co-authors of research products created with restricted data from the Urvashi Vaid LGBTQ Women’s Survey must be registered with the Urvashi Vaid Data Portal for community purposes, without exceptions.