Durham District School Board Voluntary,
Confidential First Nation, Métis and Inuit
Student Self-Identification Form
(DDSB Policy #4105)
To be completed by parents/guardians or students who are 18 and over.
Last Name
School
Date of Birth
First Name
Grade
Please identify yourself as :
First Nation
(Status/non-status)
Métis Inuit
Please indicate ancestry(optional):
Parent/Guardian Name:
Date:
For more information, please contact:
Durham District School Board at 905-666-5500 or visit the
Durham District School Board Aboriginal Education Website
at http://www.ddsb.ca/Programs/FNMIE/Pages/default.aspx
Submit by Email
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