Indigenous Self-Identification Form
Indigenous Self-Identification Form
This is a voluntary declaration.
Preferred name
*
Student number
*
ontariotechu.net email
*
Date of birth
Date of birth
*
/
MM
/
DD
YYYY
Are you of Indigenous Ancestry?
*Indigenous ancestry is defined as "status and non-status First Nation, Métis, and/or Inuit". Proof of Indigenous membership or ancestry is NOT required.
*
Are you of Indigenous Ancestry?
*Indigenous ancestry is defined as "status and non-status First Nation, Métis, and/or Inuit". Proof of Indigenous membership or ancestry is NOT required.
Yes
No
Please identify yourself as:
Please identify yourself as:
First Nation
Métis
Inuit
Prefer not to disclose
Would you like to be on the Indigenous Student Services mailing list?
*
Would you like to be on the Indigenous Student Services mailing list?
Yes
No