137‐ Adopted Last Revised Review Date FORM F137-1 September 2009 September 2011 September 2014 VOLUNTARY, CONFIDENTIAL ABORIGINAL STUDENT SELF-IDENTIFICATION The Ministry of Education has identified Aboriginal education as one of its key priorities with a focus on meeting three primary goals: improve achievement among First Nation, Métis and Inuit students; close the gap between Aboriginal and non-Aboriginal students in the areas of literacy and numeracy, retention of students in school, graduation rates and advancement to post-secondary studies and/or to the workplace; and develop a high level of public confidence by increasing knowledge, awareness and appreciation of contemporary and traditional Aboriginal traditions, cultures and perspectives. Hastings and Prince Edward District School Board is committed to helping all students succeed in learning and life and will continue to enhance programs and services that ensure the unique strengths and needs of all students are met, including students with Aboriginal ancestry Parents of Aboriginal students under age 18 and Aboriginal students over age 18 are invited to participate in a voluntary, confidential student self-identification process, regardless of status. No proof of status is required. By self identifying, you will assist us to better program for Aboriginal students’ progress and success. Together we can better design education programs and services that ensure all students, including First Nation, Métis and Inuit students, have the opportunities and resources needed to reach their goals. Please check the applicable box below indicating Aboriginal ancestry. First Nation Métis Inuit Student name Birth date (year/month/day) School Parent name Parent signature (student under 18) Date (year/month/day) Student signature (18 and over ) Personal information is being collected on a voluntary basis and will be used in accordance with the Municipal Freedom of Information and Protection of Privacy Act and the Education Act for the purpose of improving educational outcomes for all learners. Data will be collected and used in aggregate form only. Data will not be used or communicated in an individual form. From time to time aggregate data may be shared with the Ministry of Education and Indian and Northern Affairs Canada. Questions regarding the collection of this information should be directed to the Superintendent responsible for Aboriginal Education at 613-966-1170 or 1-800-267-4350.