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REG STRATION—WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

REG STRATION—WAYOATA ELEMENTARY SCHOOL - Retsd.mb.ca

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_________________________________________________________________________________________________Edu<strong>ca</strong>tionAboriginal Identity Declaration2013-2014 EIS Data CollectionAboriginal Identity Declaration is intended to establish statisti<strong>ca</strong>l data that will support efforts of ManitobaEdu<strong>ca</strong>tion and school divisions to plan and improve programs in a way that is responsive to Aboriginallearners.LILILI(name of parent/guardian, please print clearly):Am submitting my child’s Aboriginal Identity Declaration for the first time.Am making changes to my child’s Aboriginal Identity Declaration.Already submitted my child’s Aboriginal Identity Declaration and have no further changesto make at this time.My child is Aboriginal (please select only one of the following):LI First NationLI MétisLI InuitUncertain of ancestryLIPlease select, if appli<strong>ca</strong>ble, up to two of the following languages spoken:LI Anishinaabe (Ojibway/Saulteaux)LI Ininew I Ininiw (Cree)LI Dene (Sayisi)LI DakotaLI Oji-CreeLI MichifLI lnuktitutOther (please indi<strong>ca</strong>te if not on the list above)LIProviding this personal information is voluntary and optional. It is being collected in compliancewith section 36(1)(b) of The Freedom of Information and Protection of Privacy Act as it isnecessary for and relates directly to the activity of Manitoba to plan and improve programs andthe activity of the School Division to deliver programs in manner stated above.For more information about Aboriginal Identity Declaration, please contact:Aboriginal Edu<strong>ca</strong>tion DirectorateMurdo Scribe Centre510 Selkirk AvenueTelephone: 204-945-7886Toll Free: 1-800-282-8069 ext. 7886Fax: 204-948-2010Email: aedinfogov.<strong>mb</strong>.<strong>ca</strong>Or visit the website at: http://www.edu.gov.<strong>mb</strong>.<strong>ca</strong>/aed/abidentity.htmlStudent Name (please print)Parent/Guardian SignaturePLEASE COMPLETE AND RETURN THIS FORM TO YOUR CHILD’S <strong>SCHOOL</strong> OFFICE.

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