Intersectional Representation Self-Declaration Form
This self-declaration form indicates that you are a member of one or more equity priority groups; Indigenous peoples, persons with disabilities, LGBTQIA2s+ people, racialized people or newcomers.
Your response to the self-declaration questions is completely voluntary. All self-declaration information will be kept confidential.
Equity-seeking groups include:
- An Indigenous person. Indigenous peoples are persons in Canada who identify themselves as First Nations, status, treaty or registered Indian; non-status, non-treaty or non-registered Indian; Métis or Inuit.
- A Person with a Disability. A Person with a disability is a person who: has a persistent physical, intellectual, mental, psychiatric, sensory or learning condition that: requires a technical device and/or personal support or service to perform the essential functions of a job and requires some form of accommodation such as extra rest breaks, or modifications to job responsibility, job site, or work hours; and consider themselves, and believe an employer or a potential employer would consider them disadvantaged in finding, retaining or advancing in employment because of that condition.
- An LGBTQIA2s+ person. People in this group identify as Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual, and Two-Spirit.
- A member of a Racialized group. Racialized group members are persons other than Indigenous peoples, who are people of colour. Members of racialized groups may, for example, be persons of African, Chinese, Filipino, Japanese, Korean, Pacific Islander, East Asian, Southeast Asian, West Asian, Arab or Latin American ancestry.
- A Newcomer. An inclusive self-identifying term for those individuals who are not originally from Canada and may hold, for example, refugee status; permanent resident status; and/or be a new immigrant.