MB GovernmentThis form is for Manitoba Government Public Servants only.* Having reviewed and agreed to the "Guiding Principles," I wish to join a group.First NameLast NameEmailPhoneHow did you hear of us? Please share details of how you found out about our organization: i.e. social media, other website, poster, etc.Cultural Identity. We ask this question only to ensure balance between Indigenous and non-Indigenous participants in each Circle. First Nation Inuit Métis non-IndigenousYour Availability to Participate in a CircleCircles are usually scheduled from January to June and September to December.Please select one of the time periods that suits your schedule. More than one slot can be selected. Exact dates to be determined. Click on the arrow at the right in the box below to display the options.-Select-Tuesdays at 3pmThursdays at 3pmFridays at 3pmLocation Thank you for helping us understand your best placement in a Circle. Please include this information even if you are registering for Zoom.Your Community - City/Town/First Nation *Province or Territory- Select -British ColumbiaAlbertaSaskatchewanManitobaOntarioQuebecNew BrunswickNova ScotiaNewfoundland & LabradorPrince Edward IslandYukonNorthwest TerritoriesNunavatOutside CanadaNeighbourhoodIf relevant, please let us know your local neighbourhood so we can place you in the Circle closest to your preferred area. Travel times can be significant in larger cities.Host organizationGovernment of Manitoba Please indicate your department.If applicable, check the box that describes your position. Director Executive Director Assistant Deputy Minister Deputy Minister MinisterParticipant Circle Options Note: Circles will initially be arranged on Zoom. Your Circle can decide whether they would like to have Circles in person. French Language Circles. This option is available because our materials are being translated by volunteers. YesYou will be informed as soon as ten participants register for a given time and location.Additional comments. Is there anything else you would like for us to know?* To request an accommodation or for inquiries about accessibility, please contact Jo-Anne.Schick@gov.mb.ca or by telephone at 204-297-7587. NOTE: Your information is kept confidential. However, a list of registrants’ names and departments will be provided to IRNR.Email ConsentRequired so we can inform you with our mailings. (You may unsubscribe at any time.) I agree to be contacted by email. Policy Statement All our mailings are related specifically to the advancement of reconciliation in Canada.Click here to send your registration.
