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Self-Identification Profile
 

The information requested in this section will help us assess our success in reaching members who belong to groups identified in the PSAC Human Rights policy.

 
Name :
Classification :
E-Mail :
 
All information will be kept confidential
     
ABORIGINAL
Are you a North America aboriginal?
Yes No
   

RACIALLY VISIBLE

Are you, by virtue of your race or colour, racially visible in Canada?

Yes No

If yes, and you wish to identify with a specific racially visible group, which one?

   
DISABILITIES

Do you have any persistent or permanent physical, mental, psychiatric, learning or sensory impairments, as recognized under the Canadian Human Rights Act?

Yes No
   
SEXUAL ORIENTATION
Are you gay or lesbian?
Yes No
   
GENDER
Woman     Man
 
   
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