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MÉTIS NATION BRITISH COLUMBIA CITIZENSHIP APPLICATION PACKAGE Youth 14 yrs of age and under APPLICATION INTAKE & SUPPORT CONTACT INFORMATION Please direct all inquiries regarding requests for application packages and assistance with the application process to the appropriate Registry Clerk. To prevent delays in processing please submit application packages to the appropriate Registry Clerk. Vancouver Island Lower Mainland Kootenays Jeanie Cardinal Vancouver Island Registry Clerk 103-5668 192 nd St Email: jcardinal@mnbcregistry.ca Sharon Nielsen West Coast Registry Clerk 103-5668 192 nd St Email: sharonn@mnbcregistry.ca Thompson Okanagan Terry Ranson Registry Database Coordinator 103-5668 192 nd St Email: transon@bcmanr.ca North Central Region Northwest Region Northeast Region Audrey Prevost Northern BC Registry Clerk 207-513 Ahbau St Prince George BC V2M 3R8 Telephone: (250) 961-1181 Fax: (250) 561-2790 Email: aprevost@mnbcregistry.ca

As the parent/legal guardian please carefully read the following information when filling out an application for a child 14yrs of age or under. If you have, questions regarding the application process refer to the Registry staff contact information listed above. 1. Provide a copy of a family information birth or baptismal certificate for the following individuals going back to 1901. These documents contain an individual s name, date, gender, parent s names and birthplace. i. Applicant ii. Métis parent iii. Métis grandparent iv. Métis great grandparent If you do not have family information birth certificate/s they can be obtained from the department of vital statistics in the province in which the individual was born. If you do not have baptismal certificate/s they can be obtained from the church where the baptism or christening occurred or from the archdiocese of the church. 2. Complete the 5-generation pedigree chart provided with this application package. A pedigree chart must be filled out and submitted for each applicant. Include as much information as possible, i.e. birth dates and places, marriage dates and places, death dates and places. Without these specific details, the Central Registry may not be able to verify the genealogy. Always use maiden names for women when completing the chart. 3. Please send a copy of one piece of valid BC issued photo identification, such as BC Identification, or Canadian passport. For applicants 18 yrs of age and under you can provide a copy of their BC Care Card as identification. 4. Completed, signed, dated & witnessed Consent to Release form. 5. Completed, signed and dated Indian Registry Screening Consent form. For applicants 14 yrs of age and under their Indian Registry screening consent form must be signed by the legal guardian. Please note the following important information regarding the application process and Citizenship card distribution: 1. Additional documentation may be requested to support a Citizenship application. Registry staff will assist where possible although it is the responsibility of the applicant s parent/legal guardian to supply the information required to confirm Métis ancestry. Do not send original documents, please make photocopies of the documentation for your records prior to forwarding the application for processing. 2. The Central Registry is not responsible for information, including application packages or Citizenship cards, damaged, lost or stolen in the mail. 3. It is the responsibility of the parent/legal guardian of the applicant to ensure the contact information on the file is updated and accurate should they move during the application process.

Please read carefully if you are submitting an application and a family member has indicated they hold a Métis Nation British Columbia Citizenship card. 1. If the minor aged child has a confirmed family member who holds a MNBC Citizenship card, please indicate in the space provided on the main page of the application form and include their name and relationship to the child. i. i.e.: sibling, parent, grandparent etc. 2. Applicants of family members who are registered with the MNBC Central Registry are required to submit: i. An application package, including the items listed on the previous page ii. A copy of their family information birth certificate or the acceptable alternative iii. A copy of the family information birth or baptismal certificate for each generation required to connect them to the family member who holds the MNBC Citizenship card.

Métis Nation BC Central Registry 103 5668 192 nd St I,, Legal Guardian s Name (please print clearly) Oath of Citizenship as the parent/legal guardian hereby apply for Citizenship in Métis Nation British Columbia on behalf of the above said minor aged child,, Applicant s Name (please print clearly) and do hereby swear they do not hold Indian Status, Treaty Status or Bill C31. Further, should they be granted Citizenship with Métis Nation British Columbia, they will respect, and will abide by, all the rules and bylaws of Métis Nation British Columbia. Signature of Legal Guardian: For Métis Nation British Columbia Central Registry office use only. Please do not print in this space. MNBC Card Number: Issue Date: Region: Name of Issuer: MNBC CR OCT 2015

CONSENT TO RELEASE CONFIDENTIAL INFORMATION THIS FORM IS MANDATORY FOR MINOR AGED CHILDREN 14YRS OF AGE AND UNDER AND MUST BE FILLED OUT BY THE PARENT/LEGAL GUARDIAN Full Legal Name of Minor Child: (please print name clearly) As the parent/legal guardian of the above said minor child, I understand the contents of their Métis Nation BC (MNBC) Citizenship application are confidential. All personal information is protected by the Personal Information and Privacy Act (PIPA) and may not be released to any individual, body or organization without my written consent. I hereby authorize the MNBC Registry to store in hard and/or electronic copy the following contents of the above said minor child s MNBC Citizenship application file: Individual Citizenship Application form; which includes the following information: o Name o Address o Phone Number o Email address o Signature Consent to Release Confidential Information form Supporting genealogical documentation; 5- Generation Pedigree Chart BC government issued identification Correspondence pertaining to the minor aged child s application Application Checklist Contact Log I hereby authorize the MNBC Registry to use the 5-Generation Pedigree Chart and supporting genealogical documentation for the above said minor child s application to assist with compiling genealogical charts for other members of their biological family. Please check one of the following: Yes No I hereby authorize the MNBC to use the supporting genealogical documentation in the above said minor child s application to assist with research and publications documenting the history of the Métis. Please check one of the following: Yes No I understand all information in regards to the above said minor child s application for MNBC citizenship will be retained by the MNBC unless I provide written instructions with my signature to destroy and/or return all information I have submitted as their parent/legal guardian. Legal Guardian: (print name) Legal Guardian: (signature) Date: Witness: (print name) Witness: (signature) Date:

INDIAN REGISTRY SCREENING CONSENT FORM THIS FORM IS MANDATORY FOR MINOR AGED CHILDREN 14 YRS OF AGE AND UNDER. MUST BE FILLED OUT AND SIGNED BY THE PARENT/LEGAL GUARDIAN Full Legal Name of Minor Child: (please print name clearly) Date of Birth: (dd/mm/yy) As the parent/legal guardian of the above said minor child, I am applying for Citizenship with Métis Nation British Columbia & hereby consent to a search of the Indian Registry to determine if the minor child is registered with Indian and Northern Affairs Canada (INAC) as a Status Indian. By signing this form, I give INAC permission to release this information to: Métis Nation British Columbia Central Registry 103-5668 192 St 1-800-940-1150 Legal Guardian: (print name) Legal Guardian: (signature) Date: (dd/mm/yy)

Metis Nation BC Central Registry 5 Generation Pedigree Chart 8 16 IF YOU HAVE A FAMILY MEMBER WHO IS Great G-father's name REGISTERED WITH MNBC PLEASE INDICATE WHO 4 b 17 THEY ARE ON THE CHART AND PROVIDE THEIR 8 DIGIT ID NUMBER: Fill in chart as completely as you can, with as much info as possible. Use maiden name for females. Please indicate clearly which line your Métis ancestry is on. Legend: b=date of Birth w=where m=date of Marriage w=where d=date of Death w=where Grandfather's Name m b d 18 w 9 m Great G-Mother's (maiden) name 19 2 w b Your Father's Name d d b w 10 20 w Great G-father's name m b 21 w 5 m d G-mother's (maiden) name d 22 w b 11 w Great G-Mother's (maiden) name 23 d b 1 w d Your name, maiden name if female 12 24 b Great G-father's name w 6 b 25 m Grandfather's Name m w b d 26 w 13 m Great G-Mother's (maiden) name 27 w b 3 d d Your Mother's (maiden) name w 14 28 b Great G-father's name w b 29 d 7 m w G-mother's (maiden) name d 30 b 15 w Great G-Mother's (maiden) name 31 d b w d