Forms

Mikisew Membership Application Form

Thank you for your application. All information is confidential and used only in processing your request. Please ensure you complete all of the required fields and include any requested documentation. Your application will not be processed until all necessary information and the accompanying documentation is provided.

Please note: To apply for Mikisew membership, you must first be registered with Indigenous Services Canada (ISC). For more information, visit the Government of Canada website and complete your Application forms for Indian status and status cards. If you require assistance contact ISC at 780.495.2773. New members are not entitled to Mikisew payments allotted to previous members (e.g., cow and ploughs).

Applicants must apply using the same name they are registered as with Indian Affairs.

Due to the Privacy Act we are unable to give out treaty numbers for family members and friends.

The Membership Departments prefers emails for all requests, including appointments. Elders who do not have access to email may call our office at 780.697.3747.

Date*
MM slash DD slash YYYY
Reason for seeking Mikisew membership*
Applicant Information
First name*
Last name*
Treaty number*
Mailing address*
Phone*
Date of birth*
MM slash DD slash YYYY
Gender*
Name of former Band (if applicable)
Former Band number (if applicable)
Applicant's Father
First name*
Last name*
Treaty number (if applicable)
Mailing address*
Phone*
Date of birth*
MM slash DD slash YYYY
Band name (if applicable)
Band number (if applicable)
Applicant's Mother
First name*
Last name*
Treaty number (if applicable)
Mailing address*
Phone*
Date of birth*
MM slash DD slash YYYY
Band name (if applicable)
Band number (if applicable)
Applicant's Grandparents
Full given name of Applicant’s paternal Grandfather
Full given name of Applicant’s paternal Grandmother
Full given name of Applicant’s maternal Grandfather
Full given name of Applicant’s maternal Grandmother
Additional Information Required
All applications must be accompanied by the following documents:
Birth certificate*
Drop files here or

Max. file size: 32 MB, Max. files: 1.
Proof of ICS Indian Status*
Drop files here or

Max. file size: 32 MB, Max. files: 1.
Additionally, for members applying for their adopted children, proof of adoption must be provided.
Drop files here or

Max. file size: 32 MB, Max. files: 1.
The statements and information provided in this application and accompanying documents are, to the best of my knowledge, true and accurate.
*
- I hereby affirm that the above is true
First and last name of applicant or parent*
Date
MM slash DD slash YYYY
Signature*

Forms

Mikisew Membership Application Form

Applicant Information

Applicant's Father

Applicant's Mother

Applicant's Grandparents

Additional Information Required