IndigiTAL Sign Up Form

1
A laptop or desktop computer is required to participate in this program. Unfortunately, individuals without access to one will not be able to take part. By clicking “Next,” you confirm that you have access to a computer and will be able to use it throughout the entire duration of the program.
2
What's your first name?* This field is required.
3
And what's your last name?* This field is required.
4
Please provide your email* This field is required.We use it to keep in touch with you. Remember to check your spam folder after this.
example@example.com
5
What's your phone number?* This field is required.
Please enter a valid phone number
6
What country are you located in?* This field is required.
7
Do you agree to share your email so that we can provide programming updates and other IFA-related events?* This field is required.
YESNO
8
What do you want to see or learn in this program?* This field is required.
9
How did you find out about our program?* This field is required.If it was through a friend, please tell us their name
IFA Facebook
IFA Instagram
IFA LinkedIn
IFA TikTok
IndigiTECH
Other
10
These questions are for our funders, they will not be connected with your name or email.
11
Do you self identify as part of any nation? If so, which one? (ex. Cree, Dene)* This field is required.
12
Do you identify as a newcomer (recent immigrant) to Canada?* This field is required.
Yes
No
13
Please provide your date of birth* This field is required.
Date
Day
Month
Year
14
What province do you live in?* This field is required.
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
15
Which of the following best identifies you?* This field is required.
Two-spirited
Non-binary
Trans
Intersex
Female
Male
Other
16
What's the highest level of education that you've completed?* This field is required.
Elementary
Secondary
Post-secondary
Master/PhD
17
Do you identify as a member of a visible minority group?* This field is required.
Yes
No
18
Do you identify as 2SLGBTQ+?
Yes
No
Prefer not to disclose
19
Do you identify as a person with a disability?* This field is required.
Yes
No
Prefer not to disclose
20
Do you live in a rural or remote community?* This field is required.
Yes
No
Prefer not to disclose
Should be Empty: