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Tuesday, October 28, 2014
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Thursday, October 16, 2014
Residential School - if you attended or have a family member who did, you can request your school records. The form and address are enclosed below.
Ottawa , Ontario
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PROTECTED
ONCE
COMPLETED
INFORMAL
REQUEST FOR PERSONAL INFORMATION
If you
wish information on your attendance at a residential school, please fill in the information indicated
below. This information is required to ensure identification of the correct
student within the records.
Please
Print Clearly.
Full
name of the student: ________________________________________
Date
of birth: __________________________________________________
Any
names by which the student might have been known at the time he/she attended
the school: ____________________________________________
Names
of the parents or guardian: Mother _________________________
Father _________________________
Guardian _________________________
Band
affiliation: ___________________________________________________
Treaty
or Band Number at the time in school: __________________________
Name
of school(s) and approximate years attended each school:
_______________________________________19______to
19_______
_______________________________________19______to
19_______
_______________________________________19______to
19_______
_______________________________________19______to
19_______
Print
Complete Home address: ____________________________________
____________________________________
____________________________________
____________________________________
Telephone
number: (_____) _______________________
…/2
– 2 –
A
search will be made for any information regarding your attendance at the above-mentioned
residential school(s).
Signature
______________________ Date
____________________
Former Student
Mail your request
to:
Access to Information and
Privacy Section
Library and Archives Canada
Room 349, 395 Wellington Street
K1A 0N4
NOTE: If you would prefer that we
send this information to someone else (for example, your lawyer) rather than
sending it to you, please sign below and provide the name and address.
I
wish the records retrieved in response to this request to be sent to:
Please
Print Clearly.
Name
of Lawyer: __________________________________
Address: ____________________________________
____________________________________
____________________________________
____________________________________
Telephone
number: (_____)
_______________________
NOTE:
To obtain
information on someone else you must provide us with their signature giving you
their consent or if they are deceased we require a proof of death as well as
proof of relationship.
The
information you provide on this form, collected to provide you with information
from Federal Government Records, is described in Library and Archives Canada Personal
Information Bank LAC PSU 901(Access to Information and Privacy Requests). It
will be retained for two years and then destroyed. Its use is restricted to
authorized Library and Archives Canada personnel to respond to your request and
to compile statistics regarding use of Access to Information, Privacy and
Personnel Records Division’s services.
Sunday, October 12, 2014
Thursday, October 9, 2014
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