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Dufferin Peel School Board: Self-Identification Form
This Information will not be used shared and/or used outside of the Indigenous Education Department without your express, free, prior and informed consent.
Contact the Indigenous Education Department for more information:
Jodie Williams (Coordinator)
jodie.williams@dpcdsb.org
Adam Thrasher (Elementary)
adam.thrasher @dpcdsb.org
Cheri-Anne Byrne (Secondary)
cheri-anne.byrne@dpcdsb.org
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Name of Guardian (Required if you are under 18)
Your answer
Name of child/children
Your answer
Please indicate if you attend elementary or secondary school
Elementary
Secondary
Name of School
Your answer
Please describe how you identify. You are invited to use other to use other definitions to describe how you identify. For example: Indigenous, Mohawk, Cree, Oneida, Aanishinaabek, etc.
First Nation
Métis
Inuit
Other:
Address
Your answer
Phone Number
Your answer
E-mail
Your answer
Please indicate how you would prefer for the Indigenous Education Department to contact you:
Phone
Email
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