CCC_MyProfile_SelfIdentifying

Self Identifying

Edit

Gender

Other

Preferred Name/Nickname

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I self-identify as

Other

Identify as Indigenous

What Nation do you belong to or identify with?

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My pronouns are

Other

Highest Level of Education (completed or enrolled)

Identify as Visible Minority or Racialized Group

Other racialized community best represents you?

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Have you participated in a Canada Service Corps program with one of our national partners in the last 2 years?

Canada Service Corps partners can be found here: https://www.canada.ca/en/employment-social-development/services/canada-service-corps.html

Yes No

if Yes, Please select Which Organization you Were Involved With:

Other Organization

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I speak

Other

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Are you Currently Receiving Government Income Assistance?

Please Indicate the Name or the Source of the Government Program that you are Receiving Assistance

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Do not disclose my information to the funder, the government of Canada.

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Self Identifying

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