Membership Application

Peel Aboriginal Network
375 Howden Blvd Unit #8
Brampton, Ontario L6S 4L6

Basic Information

I am Aboriginal or have Aboriginal ancestry		I am non-Aboriginal
Name
Age	Members must be at least 16
Address
City		Postal code
Telephone		Fax
Email		Cell phone

Your Aboriginal Background

Aboriginal Group	(Optional) If you wish to specify your particular nation it will help us when planning workshops/programming and activites
First Nations
Métis
Inuit

People in Your Household

Name/Relationship/Age e.g. child, spouse/partner, parent, etc.	Aboriginal Identity

What kind of membership are you seeking?

I am aboriginal and would like to be a member. With voting privileges to vote for and run for position on the Circle of Directors.

I am aboriginal and would like to be a member. I do not wish to have voting privileges. I wish to receive e-mails and possibly volunteer for activities if I choose.

I am non-Aboriginal and would like to be a member. I wish to receive e-mails and possibly volunteer for activities if I choose.

I would like to be a resource person, based on my knowledge, abilities or expertise in the following area:

I am an Aboriginal elder and am willing to share teachings with PAN and participate in the community.

I am interested in receiving emails as an information exchange member.

Areas you are Interested in

Thank you for your support!

	A hand drum group that will meet regularly to learn songs and to learn the meaning of the drum. We will also ask a few people if they wish to perform publicly once they feel comfortable. That is completely voluntary.
	Are you interested in making a hand drum (at cost) at a workshop that will take one day (usually we plan this for weekends).
	Can you volunteer to staff our PAN display booth at various events? To give out flyers, answer questions, sell items, etc. Usually we ask people to volunteer for 2 to 4 hours at a time.
	Do you have an interest in meeting and listening to elders?
	Would you be able to b a volunteer elder support assistant at upcoming events. This involves helping the elder, bringing them water & food, etc.
	Do you like to cook and would you be able to prepare food for certain events?
	Teachings and storytelling at schools and libraries: assist storytellers or go to schools on your own. We can work together on the material to present. We have many props and equipment to use.
	Would you like to learn any Aboriginal crafts? If so what is your interest?
	Are you interested in public speaking and would you like to help us make presentations to various groups and government?
	Medicine Wheel/Garden Committee: work with PAN and Heart Lake Conservation Authority to help with planting and caring for Medicine Wheel Garden.
	Are you interested in fundraising or have ideas to share?