Student Safety in Kearns 


United Way of Salt Lake is doing a small-scale community-based study on the experiences of caregivers and parents in ensuring the safety of their children in the community. You have been asked to participate in this study because you have important experiences and knowledge that can inform the bigger conversation. What we learn from this interview will be used to research what physical spaces and characteristics of the community parents trust in regards to student safety. This will allow us to identify what is and isn't working in the community to make students and parents feel safe.

Please fill out the form below to express interest in participating in this Interview, which would be conducted virtually over Zoom. Filling out this form does not guarantee you will be selected to participate. If you are selected, your participation is voluntary, and while participating, you can choose to be identified or maintain anonymity. If you are selected to participate, you will receive a $25 electronic gift card after successfully participating in the Interview. 

If you have any questions or concerns about this Interview, you can contact Bianca Paulino at  or email  

First Name:*
Last Name:*
Zip Code:*
Language Preference:*
Enrollment Status:*
Level of Enrollment:*


This Interview would be conducted over video call, likely Zoom. Would you have access to the internet and an electronic device to participate in a video call?*  (Select) 

Do you want to be compensated for your participation? Compensation will be provided in the form of an electronic gift card after participating.*

Future Involvement

I agree to be contacted about other community-based opportunities in the future*

Consent to Participate in the Project

I agree to participate in this Interview according to the terms and conditions of the study.*