CCC_MyProfile_SelfIdentifying_Edit

Self Identifying Edit

Self Identifying forms

The following questions are requested by our Funder. This information allows us to keep track of who we are serving. All information disclosed will remain confidential Please indicate the fields below in which you self-identify.

Gender (Select all that apply)

Gender is required.

Other

Please provide details.

Preferred Name/Nickname

I self-identify as (Select all that apply)

Self-identify is required.

Other

Please provide details.

Identify as Indigenous (Select all that apply)

Self-identify is required.

What Nation do you belong to or identify with?

My pronouns are (Select all that apply)

My pronouns are required.

Other

Please provide details.

Highest Level of Education (completed or enrolled)

Identify as Visible Minority or Racialized Group (Select all that apply)

Other racialized community best represents you?

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

I speak:

I speak is required.

Other

Please provide details.

Are you Currently Receiving Government Income Assistance?

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

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

Definitions:

Racialized youth (Visible Minority): Refers to whether a person belongs to a visible minority group as defined by the Employment Equity Act and, if so, the visible minority group to which the person belongs. The Employment Equity Act defines visible minorities as 'persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour.' The term racialized is becoming more widely used because it acknowledges the fact that the barriers youth face are rooted in the historical and contemporary racial prejudice of society and are not a product of their own identities or shortcomings.
Newcomers: A person who has left another country to settle in Canada within the last 5 years.
A person with a disability: A person who self-identifies as having a disability which includes: agility, hearing, mental health, developmental, intellectual, visual, motor skills, speaking, learning.
Rural or Remote Community: Individuals living in a Census Division or Subdivision (CD/CSD) not classified as a “City”. Refer to the following for a full list of CD/CSDs: http://www23.statcan.gc.ca/imdb/p3VD.pl?Function=getVD&TVD=314312
Low-income youth: A person that resides in a low-income cut-off (LICO) household, or has identified their source of income as one of the following: Crown Ward extended care and maintenance, or dependent on Employment Insurance or welfare assistance (i.e. Social Assistance, Income Supports, Income Assistance). Here is information on Canada’s Low-Income Cut-Off Guidelines based on household income: https://www.settler.ca/english/lico-2020-canada/#WhatIsLICO.
Indigenous: A person who self-identifies as Inuit, Métis, First Nation, urban/non-affiliated (youth can be status or non-status).
French Language Minority Community: Either a French-speaker or French-speaking population living outside of Quebec, where English is predominant, or an English-speaker or English-speaking population living in Quebec, where French is predominant.
LGBTQ2+: Refers to lesbian, gay, bisexual, queer, two-spirit, gender-diverse and asexual individuals.
First-time volunteer: This experience represents your first ever involvement in a volunteer/service project.
Canada Service Corps projects: 4-H Canada, 4Rs Youth Movement, Apathy is Boring, Boys and Girls Club of Canada, Canadian Roots Exchange, Chantiers jeunesse, The Duke of Edinburgh Award, Katimavik, mindyourmind, Ocean Wise, TakingITGlobal or YMCA.

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Self Identifying Edit

Self Identifying forms

Definitions: