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Guidelines for Completion of Application Office of the Métis Nation Saskatchewan Citizenship Registry 406 Jessop Ave Saskatoon, SK S7N 2S5 Ph (306) 343-8391 Toll Free: 1-888-203-6959 Fax (306) 343-8398 The information you provide on this document is collected under the authority of the Métis Nation - Saskatchewan Constitution and the Métis Nation - Saskatchewan Citizenship Act. Accordingly, this information is collected for the purpose of registration and any information you provided is protected under the provisions of the Citizenship Act. Any person may apply to register with the Métis Nation - Saskatchewan y completing the Citizenship Application Form, attaching any of the following information as set out in the Citizenship Act as that information that will verify proof of Métis ancestry. If the Registrar accepts the application, a Métis Nation - Saskatchewan Citizenship Card will e issued. The card remains the property of the Métis Nation - Saskatchewan and must e returned if requested y the Registrar. Any citizenship appeal may e forwarded in writing to the Citizenship Appeal Board, along with accompanying documentation, for consideration, suject to final appeal to the Métis Nation Legislative Assemly, the process of which is identified in the Métis Nations - Saskatchewan Citizenship Act. The urden of proof of ancestry rests with the applicant. The MN - S defines Métis as follows: Métis means a person who self-identifies as Métis, is of historic Métis Nation ancestry, is distinct from other Aoriginal peoples and is accepted y the Métis Nation." Application forms are availale for citizenship on the wesite and also through the MN-S Regions. In order to demonstrate citizenship, applicants are required to sumit an application form, must e a Saskatchewan resident for six months and provide a comination of the following documents: Census Records Church Records Historic Records Government Records Community Records IMPORTANT! GENEALOGICAL INFORMATION IS MANDATORY FOR THE COMPLETION OF THE APPLICATION. Please Note: Your application will e returned if not accompanied y the required documents.

Individual Citizenship Application 1. Application Information Surname of Applicant Given Name(s) Address (Numer/Street/Apt/Rural Route/Box #) Maiden Name (If applicale) City Postal Code Date of Residency in Saskatchewan (DD/MM/YYYY) Home Phone Numer ( ) Email Address Place of Birth (City / Province) Country Birth Date (DD/MM/YYYY) Eye Color Height Gender Male Female Saskatchewan Health Card Numer Other Photo ID (Specify) Métis Local Numer / Name / Address (Optional) Métis Local Signature (Optional) Métis Veteran Yes No Are you a harvester? Yes No Trapping Fishing Hunting Marital Status (Optional) Single Married Common Law Names of Spouses or Common Law Partner (Optional) 1. 2. 2. Applicant s Parents Birth Surname of Father Given Name(s) Place of Birth (City / Province / Country) Birth Date (DD/MM/YYYY) Birth Surname of Mother Given Name(s) Place of Birth (City / Province / Country) Birth Date (DD/MM/YYYY) 3. Applicant s Children Children s Names (First, Middle, Last) 1. 2. 3. Place of Birth (City / Province) Date of Birth (DD/MM/YYYY) Gender M M M F F F 4. Citizenship Declaration I,, make a statutory declaration that I am a Métis within the meaning of the Constitution of the Métis Nation-Saskatchewan. Further, should I e granted citizenship with the Métis Nation - Saskatchewan, I will respect, and will aide y, all the rules and ylaws of the Métis Nation - Saskatchewan. Signature:

Applying for Métis Nation Saskatchewan Citizenship It is the responsiility of the applicant to provide their genealogical information and documents to verify that information. The MN-S will assist you where possile and can provide direction in researching the vital statistic records, census information as well as diocese and parish records. The documentation provided must clearly show the connection from generation to the next. The sources from which the document originated must e recorded. A connection to ancestor who received Métis (Half-reed) Scrip or who is recognized as Métis (Half-reed) in Census is required. Please do not send any original documents. They will not e returned to you. 1. Otain a copy of your Genealogical/Long Form irth certificate (this is a photocopy of the original registration). This is a record that has oth your parent s names on it. The centralized registry must have a copy of this as it is your primary identification. If you do not have your Genealogical/Long Form irth certificate: It can e otained from the Department of Vital Statistics in the province in which you were orn. - OR - An acceptale alternative, if applicale, is your aptismal or christening record, with parental information (mother s maiden name). Certificates may e otained from the church where you were aptized or christened, or from the Archdiocese of the Church. Please also attach your wallet sized irth record. 2. Otain a copy of the Genealogical/Long Form irth certificate of the parent through whom you are verifying Métis ancestry. This is a record of irth with their parent s names on it. If you do not have your parent s Genealogical/Long Form irth certificate: It can e otained from the Department of Vital Statistics in the province in which they were orn. - OR - An acceptale alternative, if applicale, is their aptismal or christening record with their parent s names on it. This may e otained from the church where they were aptized or christened, or from the Archdiocese of the church. 3. Please send a copy of your family tree, which must go ack to at least the year 1901. Birth and/or aptism records are required for people orn efore 1901. Use the 5- generation pedigree chart included with the application package forms. Include as much information as possile, i.e. irth dates, irthplaces, marriage dates and places, death dates and places. Always use maiden names for women when completing the chart. 4. Provide documentation for these events and sources from where the information was found. Without these specific details the office of the registrar may not e ale to verify your genealogy. 5. In addition to your Genealogical/Long Form irth certificate, please send a copy of your current Saskatchewan Health Card and one piece of government issued photo ID. 6. Sign and date the Indian Register Screening form. Every applicant must sumit this form. Please note that even though 16 years is considered an adult for the purposes of the MN-S citizenship card, the legal age of consent is 19 years of age in Saskatchewan and if the applicant is under 19 years of age their Indian Register screening form must e signed y their parent or legal guardian. 7. Proof of name change is required if the applicant s name is different from their irth certificate. Please include marriage or legal name change papers for each time the name has changed. IMPORTANT! PLEASE NOTE THAT GENEALOGICAL INFORMATION IS MANDATORY FOR THE COMPLETION OF THE APPLICATION.

Applicant's Name:.p = Date of Birth.p = Birth Place m = Date of Marriage m.p = Marriage Place d = Date of Death d.p = Death place Métis Nation-Saskatchewan Registry Department 8 G-Great G-Father's Name 16 4 m 17 Great G-Father's Name d. 9.p G-Great G-Mother's Maiden Name 18 m 2 m.p d 19 GrandFather's Name d d.p 10.p G-Great G-Father's Name 20 m m.p 5 m 21 d Great G-Mother's Maiden Name d d.p 11.p G-Great G-Mother's Maiden Name 22 d 1 Your Métis Parent's Name d.p d 23.p 12 m 6 G-Great G-Father's Name 24 m.p Great G-Father's Name d m 25 d.p.p d m 13 m.p G-Great G-Mother's Maiden Name 26 3 d G-mother's (Maiden) Name d.p d 27.p 14 d 7 G-Great G-Father's Name 28 d.p Great G-Mother's Maiden Name m 29.p d d 15 d.p G-Great G-Mother's Maiden Name 30 d 31

Consent to Contriute Personal Information and Historical Documents Personal Information Personal information is information that identifies you as an individual. It includes not only your name and address, age and gender, ut irth date and other personal archival records, records concerning your ancestry, present and past residences. Information That You Consent To Release y Signing This Form The information referred to in this consent form are those personal archival records and records concerning your ancestry specifically; if you sign this form these records will e contriuted to the MN-S Historical Documents Dataase, and thus made availale to authorized researchers, authorized staff, and authorized citizens of the MN-S. This consent form does not relate to contemporary personal records; y signing this form you DO NOT consent to release information aout your irth certificate, or current address. Purpose for the Disclosure of Personal Information The MN-S will e using and sharing your information, to the extent necessary, towards historical research in relation to contemporary and historical Métis communities, traditions, and customs. The MN-S has developed a dataase of historical information concerning the Métis people in Saskatchewan. Your information will e added to this dataase to e used as required for the preparation of one or more historical reports authorized y the MN-S. These reports may or may not specifically identify you and may e distriuted to others such as Provincial and Federal government departments, triunals, courts, administrative odies, the media, Métis communities, Provincial and Federal Métis organizations, and/or the pulic at large. The use of your personal information for these purposes is self-evident and should e clear. However, if you have any questions aout the purpose of the personal information and how it will e used, please call the MN-S head office and ask. In addition to the purposes set forth aove, your personal information may e used as follows: To trace your ancestry. To research and record personal information as necessary for the exercise and preservation of cultural practices and tradition. For use in a pulic report concerning contemporary or historical communities and traditional Métis customs and practices for use as necessary in Court proceedings, Administrative matters and hearings, and such other purposes and uses as may e required and deemed useful in advancing the cause of Métis Citizens, proving and/or; Upholding Métis rights and entitlement and/or pulicizing Métis issues. Sharing your Personal Information If you consent to the use of your Personal Information as stated aove, it will e shared, to the extent permitted y law, within the MN-S and/or its successors, genealogy research department, and authorized researchers. Third Party Information The information that you provide to us may include the Personal Information of third persons. In many cases, the information you provide may e shared with others as stated aove. However, information will not e shared with other parties unless the release of that information is consented to y that third person. Storage of Personal Information Your personal information will e stored in hard copy and as computer data at the MN-S head office and with authorized researchers as designated y the MN-S. Dated this day of, 20_ Signature

Consent to Release Confidential Information Date (DD/MM/YYYY) Name (Please Print) I understand the contents of my Métis Nation - Saskatchewan (MN-S) Citizenship application is confidential. All personal information is protected y The Freedom of Information and Protection of Privacy Act and may not e released to any individual, ody, or organization without my written consent. This form is Mandatory I herey authorize the MN-S Registry to store in hard and/or electronic copy the following contents of my MN-S Citizenship application file: Individual Citizenship Application form; Consent to Release Confidential Information form; 5- Generation Pedigree Chart; Supporting genealogical documentation; Photograph; Correspondence pertaining to my application(s); Application Checklist. Should I ecome registered as an Indian under the Indian Act, susequent to my registration as a Métis within the Registry, I undertake to advise the Registrar and immediately request my name e removed from the MN-S Citizenship Registry. MN-S Citizenship Registry has my consent to periodically search the Indian Registry to determine if I am a Status Indian. I understand all information in regard to my application for MN-S citizenship will e retained y the MN-S unless I provide written instructions with my signature to destroy and/or return all information I have sumitted. I herey authorize the MN-S to use the supporting genealogical documentation to assist with research and pulications documenting the history of the Métis. Check ox if you give consent to the following: I herey authorize the MN-S Registry to use my 5-Generation Pedigree Chart and supporting genealogical documentation to assist with compiling genealogical charts for other memers of my iological family. I herey authorize the MN-S Registry to use the information contained in my MN-S Citizenship necessary in the preparation of Voters Lists. I herey authorize the MN-S Registry to contact the Local Métis community in the Region I reside in for the purpose for verification of Métis community memership. I herey authorize the MN-S Registry to contact me for future surveys or questionnaires. Signature Witness Signature Witness Name (Please Print)

Indian Register Screening Form Release of Confidential Information Date: ATTN: Indian Registration & Band Lists Program Indian and Northern Affairs Canada Room 200, 1 First Nations Way Regina, Saskatchewan S4S 7K5 Dear: Registrar I am applying for citizenship with the Métis Nation - Saskatchewan and herey consent to a search of the Indian Register to determine if I am a registered Indian. Given Names Surname Maiden/Former Name Birth Date Please send this information in writing to: Name Address City & Province Postal Code Yours Truly, Signature

Statutory Declaration I recognize that in order to apply for a Métis Nation Saskatchewan citizenship I need to verify that I am not a Status Indian nor have I made application for First Nation Status. I,, do solemnly and sincerely swear that I am not a Status Indian or a person who has taken Bill C31 or Bill C3. I understand that I could e prosecuted to the fullest extent of the law if I fraudulently sign this declaration and I am found to have First Nations Status. If inquiries estalish that I am a Status Indian I will relinquish my MN-S Citizenship Card to the MN-S Citizenship Department within one week from receiving notice from the MN-S that I am a Status Indian. If I make application for First Nations Status and I am successful I will relinquish my MN-S Citizenship Card to the MN-S Citizenship Department, within one week of receiving my First Nations Status. Declared at (Place) On (Date) (Signature) Before me, (Signature of Commissioner for Oath)

Authorization I,, upon my application for registration to the Métis Nation Saskatchewan Citizenship Registry do herey authorize the Métis Nation Saskatchewan to provide my name and other details disclosed to them through my application to the Aoriginal Affairs & Northern Development Canada (AANDC). I herey authorize this disclosure for the purpose of searching the AANDC records to identify as to whether I am registered within Canada as a Registered Indian person pursuant to the Indian Act, R.S., 1985, c.i-5. By this authorization I herey agree that the results of the AANDC search can e released in writing to the Métis Nation Saskatchewan Citizenship Registry. This authorization will remain in effect and full force until I rescind it in writing to oth the Métis Nation Saskatchewan Registry and to AANDC. Dated the day of in the year 20 (Day) (Month) (YY) at (Place) _. Signature Witnessed y (Print Name) Witness Signature

Vital Statistics Release of Confidential Information Date (DD/MM/YYYY) ATTN: Vital Statistics Information Services Corporation of Saskatchewan 1301 1 st Avenue Regina, SK S4R 8H2 Dear Vital Statistics Registrar, I,, herey consent to the release of Vital Event information of the event outlined on the enclosed application form. I am applying for citizenship with the Métis Nation Saskatchewan and require this document to estalish proof that I am entitled to e registered as Métis. Please forward to: Registry Department Métis Nation - Saskatchewan 406 Jessop Ave Saskatoon, SK S7N 2S5 Yours Truly, Applicant s Signature

Métis Nation Saskatchewan citizenship registry application checklist Is your application form completely filled out? Do you have your Citizenship Declaration signed? Fill out and send the 5-generation family tree going ack to the year 1901. Do you have a copy of your long form irth certificate, genealogical irth certificate or aptismal record? (This is the document with oth your parent s names on it.) Do you have a copy of your parent s long form irth certificate, genealogical irth certificate or aptismal/christening record? (This is the document with oth of your Grandparent s names on it) Do you have proof of name change (marriage certificate) Do you have a copy of photo ID issued in Saskatchewan (driver s license or passport) as well as your Saskatchewan health card? Did you include your signed Consent to contriute personal information and historical documents form? (Please sign this form if you would like to contriute to the MN-S Historical Document dataase.) Did you include your signed Consent to Release form? Did you date, and sign the Indian Register Screening form? Did you date and sign the Vital Statistics Application for a Birth Certificate form? Did you provide historical records: Copies of original records such as scrip, census, government, church records or historical records created efore 1901 that identify your historical ancestor as Métis or in other terms such as Half-reed, French reed, other reed, ois-rule. Did you date, and sign the Statutory Declaration letter as well as receiving a signature from a Commissioner for Oath. The MN-S has a Commissioner for Oath on staff and will e ale to sign the document during our office hours, or you have the option to find a Commissioner for Oath closest to you. Please use this efore mailing in your application. It may save weeks of waiting for your card.