Self-Identification Form

All Indigenous students are encouraged to take a moment to register with the Indigenous Student Centre. Your participation will help with the planning and delivery of more effective services.

Confidentiality

The information requested in this form is confidential. It will be used for emergency contact and important email information for Ministry statistical reporting only.

Indigenous Self-Identification Form

All indigenous students are encouraged to take a moment to register with the Indigenous Student Centre. Your participation will help with the planning and delivery of more effective services.

The information requested in this form is confidential. It will be used for emergency contact, important e-mail information and for Ministry statistical reporting ONLY.

* - Indicates a required field.

Name

Address

City

Province

Postal Code

Phone

Program Name

Full-Time

Part-Time

Contract

Apprenticeship

Other

Program Type

Student ID

Self-Identification Form

Confidentiality

Indigenous Self-Identification Form

Land Acknowledgment