Community Registration Edit Thank you for joining our Community. We look forward to sharing with you opportunities to participate in Surveys, Focus Groups and Pilots. Your participation is CONFIDENTIAL and ANONYMOUS. Contact InformationName(Required) First Name Last Name Email(Required) Phone(Required)Personal InformationGender(Required)FemaleMaleNon BinaryPrefer Not To SayYear of Birth(Required)Indigenous Identity(Required)First NationMétisInuk (Inuit)GeographyCity(Required) Province(Required)British ColumbiaAlbertaSaskatchewanManitobaOntarioQuebecNew BrunswickPrince Edward IslandNova ScotiaNewfoundland and LabradorNunavutNorhwest TerrirtoriesYukonPrefer Not To SayPostal Code(Required) Type of Community(Required)RemoteRuralUrbanSuburbanPrefer Not To SayTraditional Community(Required)YesNoPrefer Not To SayMember of First Nations Band(Required)YesNoPrefer not to sayLanguagesOfficial Language Preference(Required)EnglishFrenchBilingualPrefer Not To SayLanguage Spoken at Home Indigenous LanguagesDemographicsThis information is optional but will allow us to provide you with more targeted opportunitiesEducation AchievementBelow High SchoolHigh SchoolApprentishipCollegeSome UniversityUniversity BachelorUniverstiy MastersUniverstiy PHDOtherPrefer Not To SayEmployment StatusUnemployedFull TimePart TimeStudentRetiredSelf EmployedUnable To WorkPrefer Not To SayHousehold IncomeLess than $5000Between $5,000 and $9,999Between $10,000 and $14,999Between $15,000 and $19,999Between $20,000 and $24,999Between $25,000 and $34,999Between $35,000 and $49,999Between $50,000 and $$74,999Between $75,000 and $99,999Between $100,000 and $149,999$150,000 or morePrefer Not to SayPhoneThis field is for validation purposes and should be left unchanged.
