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Seclusion Study Interest Form

Thank you for your interest in our study!
Dr. Ceema Samimi and the Liberation Lab at the University of Minnesota are conducting a study on how people understand school seclusion and its impacts. The study currently includes school personnel, parents, caregivers, and adults who experienced seclusion as students. We plan to also talk with youth who have expereinced seclusion in the near future.
This study has been reviewed by the University of Minnesota Institutional Review Board and will be ongoing from April 2026-September 2028. We will share updates about what we learn along the way.
If you are interested in receiving updates about this study and the work of the seclusion lab, you can sign up for our very low-engagement newsletter here.
If you would like to participate in the study, please complete this form and a member of the study team will get back to you within 3 business days. All information will be kept confidential.

What is your name?

What are your pronouns?

Please provide an email address

Please provide a phone number

What is your role?

What is your role?
A
B
C

What time of day are you generally available for an initial screening call? (Central time zone)

What time of day are you generally available for an initial screening call? (Central time zone)

How did you hear about this study? " If a specific person or organization referred you, please name them. Also include any questions you have at this time.