KIEN MEMBERSHIP FORM

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We are looking to update our email contact excel sheet that has all of the employees who are interested in being a part of KIEN's activities, discussions, and community, and/or who would like to receive updates on current events and Indigenous Education Practices.

Please fill out the form even if we may have your email address already so that the list can be entirely updated.
Thank you!

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Adresse e-mail *

Option 1

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What is your name? *

What area of Durham are you working in? *

Pickering

Ajax

Whitby

Oshawa

Brooklyn

Port Perry

North

Retired now

Autre :

Are you working in Elementary or Secondary? *

Elementary

Secondary

Alternative

Both

Autre :

Have you experienced an event, meeting, or social gathering with KIEN before? *

Yes

Autre :

How do you identify? *

Ally

First Nation

Métis

Inuit

Rather not say

Unsure

Autre :

Obligatoire

What is your role within D.D.S.B.? *

I am an educator:

I am a parent

I am a support staff

I am a student

I am a community member

I am an administrator

I am not part of the D.D.S.B.

Autre :

Obligatoire

What kind of workshops/events/professional development/teachings/cultural experiences would you be interested in participating in or running? *

Which of the following are of interest to you? (check all that apply)

connecting with other Indigenous staff

connecting with community members

connecting with local First Nations and Métis Peoples

connecting with other parents

meeting with Elders and/or knowledge keepers

planning and implementing an event or professional development session

social justice and reconciliation

connecting with Indigenous students

connecting with Indigenous studies teachers

casual conversation and relaxing together

learning something culture based

learning from the land

hearing various speakers present

lesson planning and classroom practice

meeting new people

learning more about Indigenous issues

finding out more about who I am

having discussions around books / movies / media / arts

Autre :

How do you prefer to be contacted to find out about any events that we plan? (check more than one if you do not have a preference) *

Social Media such as Facebook/Twitter/Instagram

Phone call

Face to face meeting / word of mouth

Newsletter

KIEN Website updates

I do not wish to be contacted about events

Autre :

Obligatoire

We appreciate you taking the time to fill this out. We will be in touch!

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