Ryerson Aboriginal Student Questionnaire

The personal information collected on this questionnaire as permitted under the Human Rights Code will be used for the purpose of planning R.A.S.S. and Peer Support events and workshops. This information is only obtained if you supply it voluntarily. If you have any questions about the collection, use and disclosure of this information by the University please contact the Administrative Assistantof Aboriginal Student Services at 416-979-5000 extension 7699

Name:Student #:

Mailing Address:Program & Year:

Date of Birth:

Circle One: Status/Non-Status/Inuit/MétisPhone #:

Name of Band:Email:

  1. What types of activities would you like to do as a group?

□Paramount Wonderland□Bowling

□ROM□Comedy Night

□AGO□Movie Night

□Casa Loma□Pot Luck

□TorontoIsland (environment)□Sports Event (E.g. Lacrosse)

□Pow-Wow Trip□Bingo Night

□Casino Rama Trip□Other:

  1. What types of Traditional Workshops & Services interest you?

□Dream Catcher Workshop□Feast

□Medicine Wheel Workshop□Moccasin Workshop

□Beading Workshop□Traditional Drumming & Singing

□Hand Drum Workshop□Traditional Pow-Wow Dance Styles

□Teaching Circles□Aboriginal Seer/Psychic

□Sweat□Other: ______

3.What seminars might interest you:

□Personal Safety & Street Safety□Resume Preparing/Job Searching

□Stalking/Date Rape/Sexual Assault□Course Management

□Drug & Alcohol Talks□Motivation & Procrastination

□Homeless & Mental Health Issues□Time & Task Management

□Two-Spirited Peoples□Preparation for Tests & Exams

□Diabetes□Other: ______

□Diversity

4.Would you be interested in hearing speakers on:

□Motivation (E.g. Roberta Jamieson)□Traditional Stories (E.g. Marie Gaudet)

□Current Events (E.g. Phil Fontaine)□Aboriginal History (E.g. Monica McKay)

5.We inform students of events & services both on and off campus along with scholarship information & deadlines via email. Would you like to be added to our mailing list?

□Yes

□No

Thank you for your time. The questionnaire will help RASS and Peer Support Staff plan events & activities that students are interested in, so we can organize those events. Don’t forget to drop by at KHW 389, 379 Victoria Street!

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Fill in the Ballot Below and enter to Win a $100.00 Gift Certificate from the Ryerson Bookstore.

Name: ______

Phone Number: ______

Email: ______

Signature: ______

The draw will be held at the end December5, 2016. The winner will be notified by phone first, then by email if we cannot contact the student. GOOD LUCK & MAY THE POOREST STUDENT WIN