CUPE Alberta Aboriginal Council

Self Identification Form

A purpose of the Alberta Aboriginal Council (AAC) is to seek methods and active participation of Aboriginal workers in our movement through coalition building and community networking thereby AAC is requesting CUPE workers self-identity to create a confidential communication network which will provide update on AAC activities and information on community events.

Name

Address

Telephone

Cell Phone

Email Address

CUPE Local #

Sector

Health care
Education
Social services
Post secondary
Municipalities
Airlines
EMS
Other

Gender

Male
Female

Racial Background

First Nations
Metis
Inuit
Not sure

All information collected will be kept confidential by the Alberta Aboriginal Council.