Membership Application 2012

Transcription

1 Membership Application 2012

2 Contents BCMF Membership Categories...3 BCMF Membership Fees...3 BCMF Membership Card... 4 How to Complete Your Membership Application... 4 Privacy Policy...5 Forms Application Form... 6 Statutory Declaration Form...7 Consent to Release Form... 8 Genealogy Diagram... 9 British Columbia Métis Federation Membership Application 2

3 BCMF Membership Categories The BC Métis Federation has three categories of membership. BCMF Full Member The BC Métis Federation (BCMF) will recognize Full Membership upon proof of possession of a genealogical verified card from one of the following provincial Métis organizations: 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 BCMF Associate Member BCMF will recognize Associate Membership for: Spouses of BCMF members Friends of the BCMF Independent supporters who complete a BCMF membership application form but have not provided genealogical evidence to substantiate their Métis identification at the time of membership application Métis who do not have their genealogy complete will become associate members until a member has completed the necessary research to verify citizenship Associate members will not be eligible to vote at any BCMF general meetings and are not eligible to sit on the BCMF board of directors BCMF Honourary Member BCMF will recognize Honourary Membership for: Such persons may be admitted by resolution of the membership at an annual general meeting Recognized friends of the BCMF by Order of the Sash presentation or extraordinary circumstance Honorary members will not be eligible to vote at any BCMF general meetings and are not eligible to sit on the BCMF board of directors BCMF Membership Fees The current BCMF membership cost structure covers the printing costs of the BCMF laminate membership cards. Family memberships include children under the age of 18. Individual $20.00 Family (4 +) $50.00 Elders (65+) $15.00 The membership fee structure will be reviewed after the first BCMF Annual General Meeting. British Columbia Métis Federation Membership Application 3

4 BCMF Membership Card All BCMF Members will receive a BCMF Membership Card. John Doe # Scenic Drive Somewhere, BC V7V 8V9 Gender: Male Birth Date: July 1, 1970 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 NUMBER ISSUE DATE: Membership Signature: How to Complete Your Membership Application The BC Métis Federation Membership Application consists of four parts: Application Form Statutory Declaration Form Consent to Release Form Genealogy Diagram You must also submit 2 identical passport-style photos for use with your BCMF Membership Card. Photos must be from the mid-chest to just above the head and use a light coloured background. You must complete and return all of the above documents along with your passport photos and payment before you will receive your BCMF Membership Card. Please make your cheque or money order out to: BC Métis Federation Society Mail your documents and payment to: BC Métis Federation» Attention: Membership Coordinator» Kingsway» Vancouver, BC, V5R 5W2 For more information, or for questions, please contact: Membership@BCMetis.com British Columbia Métis Federation Membership Application 4

5 Privacy Policy British Columbia Métis Federation (The Society) The British Columbia Métis Federation (BCMF) 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, BCMF 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 BCMF Privacy Policy Management Plan includes the following guidelines on the collection, use and storage of your personal information as follows: Collection: The BCMF 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. Accuracy: The BCMF 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 BCMF will modify the information as required. Storage: 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. Disclosure: 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 BCMF Secretary: Secretary@BCMetis.com British Columbia Métis Federation Membership Application 5

6 BC Métis Federation Membership Application 2012 ARE YOU METIS? Yes No Legal Name of Applicant: First Middle Last Home Phone: ( ) Cell Phone ( ) Address: Address Postal Box # or Apt. # Street City Province Postal Code Birth Date (mm/dd/yyyy) Place of Birth(Town, City, Province) Male Female Applicant s Father s Last Name Applicant s Mother s Maiden Name Father s First & Middle Name Mother s First & Middle Name Father s Place of Birth (City, Town, Province) Mother s Place of Birth(City, Town, Province) Applicant s Children s Full Name Male Female Date of Birth (mm/dd/yyyy) Applicant s Children s Full Name Male Female Date of Birth (mm/dd/yyyy) Place of Birth ( Town, City, Province) Place of Birth ( Town, City, Province) Marital Status, Please check Applicable Box: Single Married Common Law Spouse First Name Middle Name Last Name/ Maiden Name for Women Is your spouse MéWs Yes No Do you have a MéWs NaWon BriWsh Columbia CiWzenship Card? Yes No If Yes, please provide MNBC CiWzenship # Please provide photo copies of all MNBC Citizenship Cards. Do any of your family members have a MNBC CiWzenship Card? Yes No Name of Card holder Card Number# RelaWonship Do you have any of the following Provincial MeWs Cards? If Yes, please check off one of the following, and provide a clear photo copy of the Provincial Card. MéWs NaWon of Alberta Yes Manitoba MéWs FederaWon Yes MéWs NaWon of Saskatchewan MéWs NaWon of Ontario Yes Yes B.C. Community Card Yes (That predates an MNBC card) Labrador MéWs NaWon Yes Northwest Territory MéWs NaWon Yes Quebec MeWs Card Yes Please provide Provincial MéWs Card # Date received Do you belong to a BriWsh Columbia MéWs Local Community? Yes No If Yes, please print Local Community Name Are you a MéWs Veteran? Yes No I have been a permanent resident of BriWsh Columbia since I am a Canadian CiWzen Yes No DeclaraWon: I solemnly swear the statement made in this applicawon is to be true. Signature of Applicant Date: Please provide a clear photocopy of one piece of picture IdenWficaWon: Provincial MéWs Card Yes Drivers License: Yes BC Government IdenWficaWon: Yes Card Costs: $15.00 for Seniors 65+ / $20.00 per member / $50.00 per family of four+ *****Please send cerwfied cheque or money order payable to - BC MéWs FederaWon Society***** NOTE: (BCMF cards are for life)***** To be signed by 2 (Two) BCMF Directors: Date of ApplicaWon Approval: British Columbia Métis Federation Membership Application 6

7 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: British Columbia Métis Federation Membership Application 7

8 Consent to Release Confiden-al Informa-on Date: Name: 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 Must be in black ink IMPORTANT! - Please keep your signature within the boundaries of the signature box as your signature will be used as the specimen for your BCMF Membership Card. British Columbia Métis Federation Membership Application 8

9 Genealogy Diagram British Columbia Métis Federation Membership Application 9