Aboriginal Self-Identification Form

All aboriginal students are encouraged to take a moment to register with the Aboriginal Cultural/Learning Centre. Your participation will help with the planning and delivery of more effective services.

* - Indicates a required field.

* Name:
* Address:
* City:
* Province:
* Postal Code:	(Ex. A1A 1A1)
* Phone:
* Email:
Program:
* Student ID:
* Associated Nation:
* Aboriginal Ancestry: (Please select one)	Status/First Nations of Canada Non Status/First Nations of Canada Metis Inuit

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