Membership Application - BC Métis Federation€¦ · b c m é ti s fe d e r ati on Membership Application 5. Consent to Release Conﬁden-al Informa-on I understand the contents

Membership Application

ContentsMain page ....................................................................................................................... 1Content page .................................................................................................................. 2

f o r m s

Application Check List ...........................................................................…………………………………. 3Application ..................................................................................……………………………………………. 4Genealogy Chart (must be complete) ....................................................................……………….... 5Consent to Release (parents must sign) ....................................……………………………………… 6Statutory Declaration (parents must sign) … ....................................………………………………… 7

b c m é t i s f e d e r at i o n

Membership Categories ........................................................................………………………………… 8 Privacy Policy ..............................................................................…………………………………………… 9

BC Métis Federation Citizenship Card Welcome to the BC Métis Federation. Thank you for joining our proud nation. All members will receive a BC Métis Federation membership Card. The membership fees and structure will be reviewed regularly.FEES: Individual $30.00 / Elders, Veterans $25.00 / Family 4 + and under age 18 $100.00 Covers all printing cost. Due to a child’s features changing or our age there will be a renewal date of 5 years.

John Doe

#123 - 456 Scenic Drive Somewhere, BC V7V 8V9

Gender: Male Birth Date: July 1, 1970

Membership Signature:

The Canadian Constitution Act,1982 provides:35. (1) The existing aborginal and treaty rights of the aborginal

peoples of Canada are hereby recongnized and af�rmed.

(2) In this Act, “aboriglnal peoples of Canada” includes Indian,Inuit, and Métis peoples of Canada.

MEMBERSHIP ID NUMBER1102-10-13:ETADEUSSI

05200080

John Doe

#123 - 456 Scenic Drive Somewhere, BC V7V 8V9

Gender: MaleBirth Date: July 1, 1970

Membership Signature:

The Canadian Constitution Act,1982 provides:35. (1) The existing aborginal and treaty rights of the aborginal

peoples of Canada are hereby recongnized and af� rmed.

(2) In this Act, “aboriglnal peoples of Canada” includes Indian,Inuit, and Métis peoples of Canada.

MEMBERSHIP ID NUMBER1102-10-13 :ETAD EUSSI

05200080

The existing aborginal and treaty rights of the aborginalpeoples of Canada are hereby recognized and affirmed.

b c m é ti s fe de rati on Membership Application 2

Application Check List

Application Member (Circle one) see page 8

Full Associate Honorary Elder Veteran

Are you Métis? Yes No

Application completed by each individual person (includes each child) Yes No

All Contact Info (email addresses if possible) Yes No

All Signature and Dates (red arrows) (black Ink only) Yes No

Consent to Release Signature (keep in middle of box) see page 6 Yes No(Signature required by parent to identify child)

Statutory forms Signature (parent must sign for child) see page 7 Yes No

Long Form Birth Certificates, Baptism (for each person) Yes No(This shows your connection to father and mother)(Please submit with — Out of Province Métis Cards)

2 Passport ID (mid chest) ( light back ground) (Just above head) Yes No

Copies of all Documents: Drivers, Government ID Provincial Cards, Yes No MNBC, Local Community Cards

Our Genealogy Chart Complete (with birth dates and names in full) see page 5 Yes No

Payment (cheque or Money order to: BC Métis Federation Society FEES: Individual $30.00 / Elders, Veterans $25.00 / Family 4 + and under age 18 $100.00

Date

Address

Attention: MembershipBC Métis Federation, 300-3665 KingswayVancouver BC, V5R 5W2

Contact Office:1 604 638 [email protected]

BC Métis Federation Card #

(office only)


Membership Application

First Middle Last

Legal Name of Applicant:

Home phone: Cell phone:

Address:

Occupation: email address:

Birth Date (mm/dd/yyyy) Place of Birth (Town, City, Province) Male Female

Applicant’s Father’s Last Name Father’s First & Middle Name Father’s of Birth (Town, City, Province)

Applicant’s Mother’s Maiden Name Mother’s First & Middle Name Mother’s of Birth (Town, City, Province)

Marital Status: Single Married Common Law Is your spouse Métis? Yes No

Spouse’ First Name Middle Name Last Name/Maiden Name for Women

Métis Nation of Alberta Yes

Manitoba Métis Federation Yes

Labrador Métis Nation Yes

Métis Nation of Saskatchewan Yes

Permanent resident of British Columbia since

Canadian Citizen Yes No

Declaration: I solemnly swear the statement made in this application is to be true.

Signature of Applicant Date:(Parents must sign)

NOTE: BC Métis Federation cards are for life*

Métis Nation of Ontario Yes

Northwest Territory Métis Nation Yes

Quebec Métis Card Yes

B.C. Community Card Yes

Please provide photo copies of all Citizenship

Cards.

Do you have any of the following Provincial Métis Cards? Check boxes that apply

Provincial Card #

BC Métis Community Card #

Métis Nation BC Yes

Date of Approval

Sign here

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Gen

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** Need Assistance Genealogy Resources: www.bcmetis.com


Consent to Release Confiden-al Informa-on

I understand the contents of my BC Me-s Federa-on membership applica-on are confiden-al. All personal

informa-on is protected by The Freedom of Informa-on and Protec-on of Privacy Act and may not be released to any individual, body, agency or organiza-on, without my wriEen consent.

Purpose for the Disclosure of Personal Informa-on:

The BCMF will be using and sharing your informa8on, to the extent necessary, towards historical research in

rela8on to contemporary and historical Mé8s communi8es, tradi8ons, and customs.

In addi8on to the purposes set forth above, your personal informa8on may be used as follows:

• To trace your ancestry.

• To research and record personal informa8on as necessary for the exercise and preserva8on of cultural

prac8ces and tradi8on.

• For use in a public report concerning contemporary or historical communi8es and tradi8onal Mé8s

customs and prac8ces for use as necessary in Court proceedings,

• Administra8ve BCMF Registry maEers, disputes and hearings, and such other purposes and uses as may

be required and deemed useful in advancing the cause of Mé8s Ci8zens, proving and/or;

• Upholding Mé8s rights and en8tlement and/or publicizing Mé8s issues.

• To consent to a search of the Indian Register to determine if I am a registered Indian.

Sharing your Personal Informa-on:

I consent to the use of your Personal Informa8on as stated above, it will be shared, to the extent permiEed by the

Freedom of Informa8on act, and authorized researchers.

Storage of Personal Informa-on:

Your personal informa8on will be stored in hard copy and as computer data at the BCMF head office and with

authorized researchers as designated by the BCMF.

This consent will remain in effect un8l such 8me as it is cancelled in wri8ng by me.

Signature

Name:Date:Name: Date:

Sign here

*

1) Sign in black2) Do not touch edges3) Keep in middle4) Parents must sign

å

BC Métis Federation Consent to Release Confidential Information


BCMF STATUTORY DECLARATION: INDIAN REGISTRY / BAND LIST

Declared before me at

___________________________________ (City, town, village) in the Province of Bri;sh Columbia

In the ma?er of an applica;on for Ci;zen Membership in the BC Mé;s Federa;on

-‐And-‐

In the ma?er of Non-‐registra;on on the Indian Registry System and/or Band List

Provision of the InformaCon requested on this document is voluntary. This informaCon is being

Collected for the purpose of documenCng an applicaCon for Membership in the BriCsh Columbia MéCs FederaCon

(BCMF) under the Bylaws of the BriCsh Columbia MéCs FederaCon. This informaCon will be

Securely stored under the control of the BC MéCs FederaCon. It is protected from disclosure to unauthorized

persons or agencies pursuant to the provisions of the BriCsh Columbia InformaCon ProtecCon Act. Under the Act,

you have the right to request access to your personal informaCon held by the BC MéCs FederaCon, and to correct

correcCons should you believe the informaCon contains errors or omissions.

TO WIT: I ______________________________________________________________

(Complete name of Declaring Applicant)

Of ______________________________, in the Province of ___________________________________

(Name of city, town village) (Province)

I do solemnly declare that I am not registered on the Indian Registry System, pursuant to the Indian Act, and/or a

Band List, and that I will immediately inform the BriCsh Columbia MéCs FederaCon should the situaCon changes

and I become registered on the Indian Registry System pursuant to the Indian Act and/or a Band List. I make this

DeclaraCon conscienCously believing it to be true and knowing that it has the same force and effect as if made

under Oath.

Signature of declaring Applicant: ____________________________ Date: _________________________

Signature of a B.C.Commissioner of Oaths: __________________________

BC Métis Federation STATUTORY DECLARATION: INDIAN REGISTRY/BAND LIST

Print Name:

*

Sign here

å(Parents must sign)


BC Métis Federation Membership CategoriesThe BC Métis Federation has three categories of membership.

full memberThe BC Métis Federation (BC Métis Federation) will recognize Full Membership upon proof of possession of a genealogical verified card from one of the following provincial Métis organizations and all copies, proof of ancestry:

• Métis Nation British Columbia• Métis Nation of Alberta• Métis Nation of Saskatchewan• Manitoba Métis Federation• Métis Nation of Ontario• Labrador Métis Nation• Northwest Territory Métis Nation• Métis Settlements Grand Council

associate memberBC Métis Federation will recognize Associate Membership for:

• Spouses of BC Métis Federation members• Friends of the BC Métis Federation• Independent supporters who complete a BC Métis Federation membership application

form but have not provided genealogical evidence to substantiate their Métis identificationat the time of membership application

• Métis who do not have their genealogy complete will become associate members untila member has completed the necessary research to verify citizenship

• Associate members will not be eligible to vote at any BC Métis Federation general meetingsand are not eligible to sit on the BC Métis Federation board of directors

honourary memberBC Métis Federation will recognize Honourary Membership for:

• Such persons may be admitted by resolution of the membership at an annualgeneral meeting

• Recognized friends of the BC Métis Federation by Order of the Sash presentation orextraordinary circumstance

• Honorary members will not be eligible to vote at any BC Métis ederation general meetingsand are not eligible to sit on the BC Métis Federation board of directors


Privacy Policybritish columbia métis federation (the society)The British Columbia Métis Federation (BC Métis Federation) is committed to up holding the provisions of the “Personal Information Protection Act, British Columbia” and is further committed to respecting the rights of individual privacy. The Society acknowledges that we will be receiving, in the ordinary course of our operations, personal information from Individuals and organizations including, and without limitation: Canadian Government, Service Agencies, BC Métis Federation Members, Associate Members and potential new members. We shall treat such information in accordance with the “Personal Information Protection Act, British Columbia”The personal information required or requested is for the Society’s management and appropriate development purposes only. The BC Métis Federation Privacy Policy Management Plan includes the following guidelines on the collection, use and storage of your personal information as follows:C O L L E C T I O N : The BC Métis Federation collects personal information about our members in order to better manage the society. The society will make all reasonable efforts to fully inform such individuals about the planned use/disclosure of their personal information if the information is required for other purposes. The society will limit the collection and use of personal information to that required for valid Society business purposes or to comply with legislation.A C C U R A C Y: The BC Métis Federation will make every reasonable effort to ensure that the personal information it collects and uses is accurate and complete. Individuals providing personal information will have the opportunity to review and correct their personal information, and on written request by an individual to whom the information relates, the BC Métis Federation will modify the information as required.S T O R A G E : The society will store personal information using hard copy and/or electronic means in such a way as to prevent unauthorized collection, access, use, disclosure or disposal of the personal information.D I S C L O S U R E : The society will not disclose personal information to any third party, unless the affected individual consents to release of their information by a signed, written letter of approval, or by Court Order.Please forward any inquiries to the Society’s Privacy Officer, attention of the BC Métis Federation Secretary:• [email protected]
