Elder and Knowledge Keeper Request Form (Orillia Campus)

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Aaniin Boozhoo (Hello),

Please complete this form to start the process of requesting an Elder and/or Knowledge Keeper. Once you complete the request form, the Indigenous Initiatives Coordinator will connect with you within 5 business days.

Please note: this process is not meant to interfere with existing relationships you may have with Indigenous Elders and/or Knowledge Keepers. More so, it is meant to support Lakehead University's relationship with Indigenous communities by honouring Indigenous Peoples' customs in a good way.

This form is solely for the Orillia campus. If you are requesting an Elder and/or Knowledge Keeper from the Thunder Bay campus, please contact:

Yolanda Twance, BA, BEd, MEd, OCT
Coordinator, Indigenous Student Services Centre
Indigenous Initiatives, Thunder Bay
e: coordinator.issc@lakeheadu.ca

Miigwetch (Thank-you). In Kindness,

Mercedes Jacko, she/they [pronounced: mr-SAY-deez JOCK-o]
Indigenous Initiatives Coordinator
Office of Indigenous Initiatives
Lakehead University, Orillia Campus

t: 705-330-4010 ext. 2018
e: orillia.ii@lakeheadu.ca

Email *

Name: *

Email: *

Telephone: *

Role: *

Department OR organization: *

Campus: *

Orillia

Thunder Bay (for Elder Trish Monague via Zoom requests only)

If you are a faculty member, what course is this request in relation to? *

No, this request is not in relation to a course.

Other:

Indigenous peoples, languages and teachings are very diverse across Turtle Island; please select which perspective best suits your request: *

First Nations

Métis

Inuit

Best-fit for the request

Elder and/or Knowledge Keeper: *

Elder Trish Monague, Beausoleil First Nation

Best-fit for the request

Other:

Location of the request: *

In-person - Orillia Campus

In-person - Faculty of Education, Heritage Place

Virtual via Zoom

What are you requesting? *

Drumming

Traditional Opening and Closing

Traditional Opening

Traditional Closing

Traditional Teaching

Other:

What is the reason for your request (i.e., event, etc.) *

Date of request: *

YYYY

Time of request: *

Time

What is the duration of time required for your request? *

1-hour Meeting

Event - Half-day (up to 4-hours)

Event - Full-day (up to 7-hours)

Other:

Estimated number of participants: *

Additional questions:

Was there an area missing from this form that would have helped you better explain your request?

I understand by submitting this Elder Request Form, I am agreeing to cover the cost of the Elder's honorarium, associated travel costs, lunch/refreshments, a gift and any cultural customs my request entails. *

Yes

Other:

Submit

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