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Student Information Form 2017-2018

The Office of Indigenous Initiatives is committed to helping you succeed in your university studies. From Nipissing University staff and faculty to Indigenous communities and organizations, the Office of Indigenous Initiatives will work with you to ensure that you are provided with a support network of programs and services.

Please take a few minutes to complete the following information.

Information will only be used by the Office of Indigenous Initiatives and will be kept confidential.​

Required fields are marked with an asterisk (*)

Your Information

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Voluntary Indigenous Student Self Identification

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Funding

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Language

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Additional Information

   
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(You will receive email messages and monthly electronic newsletter notifications of upcoming events, job postings, awards, scholarships and bursaries)
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(Some activities include: Welcome Pow Wow, Cultural Programing, Peer Mentorship, Indigenous Week, and Social events)

Protection of Privacy

The information on this form is collected under the authority of the Nipissing University Act, 1992. It is related directly to and needed by the University to support you in Indigenous Initiatives at Nipissing University. The information will be used by employees of the Office of Indigenous Initiatives, the Office of Student Development and Services, and other departments on a need to know basis.

If you have any questions about the collection, use and disclosure of this information, please contact the Office of Indigenous Initiatives, Nipissing University, 100 College Drive, North Bay, ON P1B 8L7, (705) 474-3450, ext. 4509.

Nipissing University
100 College Drive, Box 5002, North Bay, ON, Canada  P1B 8L7
Tel: 705.474.3450 | Fax: 705.474.1947 | TTY: 877.688.5507
nuinfo@nipissingu.ca
Brantford Campus
50 Wellington St.
Brantford, ON, Canada N3T 2L6
Tel: 519.752.1524 | Fax: 519.752.8372

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