Indigenous student self-identification form[vc_row][vc_column] ARE YOU A STUDENT OF INDIGENOUS ANCESTRY? Advantages of self-identifying: • Receive regular updates about activities and events, financial support, job opportunities and more • Connect with peer mentors, visiting Elders and other services provided by Indigenous Resource Centres • Become eligible for Georgian’s Indigenous student bursary • Connect with other students Name* First Last Student number* Your student number is located at the top of your letter of acceptance.Program of study* Campus* Email* Which of the following best describes you?* Status Métis Inuit Non-status I have read the above questions and hereby consent to the use of this information for the administration and statistical purposes of Indigenous Studies at Georgian College.* Yes, I agree Georgian College is compliant with the Freedom of Information and Protection of Privacy Act (FIPPA), 1990. The personal information collected on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and in accordance with sections 38(2) and 41(1) or FIPPA. The information will be used for administration and statistical purposes of Indigenous Studies at Georgian College. For further information about the information requested on this form or the purpose for which it will be used, please contact the Office of the Registrar at 705.722.1511 or ROrecords@GeorgianCollege.ca. For information about FIPPA or your privacy, please contact the Access & Privacy Office at 705-728-1968 ext. 5770 or accessprivacy@georgiancollege.ca. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. [/vc_column][/vc_row]