Office Contact For Jennifer to upload info about members When did you meet this person? MM slash DD slash YYYY Where did you meet? Lower mainland Mainland North Coast Haida Gwaii What type of event was it? Meeting Lunch/Dinner Community Event Out in Public What is their name (ignore if sending photo) Which community to they belong to?Tsimshian (confirmed)Nisgaa (confirmed)Haida (confirmed)Non-First Nations (caucasian)First Nations (unknown)FilipinoVietnameseChineseJapaneseIndo Canadian (Sikh)Indo Canadian (Hindu)MuslimChoose which group best fits this personWhich issues are they interested in?Aboriginal Relations and ReconciliationAdvanced EducationAgricultureAnimal WelfareAnimal Welfare (SPCA)Anti PovertyAttorney GeneralBC HydroBusinessChurch (comment at bottom with specifics)Prince RupertCommunity OrganizationCommunity Living BCCommunity ServicesDemocratic ReformEarly Childhood Development (child care provider)Early Childhood Development (day care)Early Childhood Development (Early intervention)Early Childhood Development (success by six)Early Childhood Development (Head Start)Economic Development, Jobs, LabourEconomic Development & Small BusinessEducation (Charles Hays)Education (Conrad)Education (Ecole Roosevelt Park)Education (French Immersion)Education (Labour Union)Education (PACS)Education (parent)Education (Port Edward)Education (Retired Teacher)Education (PRSS)Education (LAx Kxeen)Education (student unions)Elected Official (Provincial)Elected Official (Municipal)Elected Official (Band Council)Elected Official (Federal)Energy & MinesEnvironment (Air Quality)Environment (Bears)Environment (Hunting & Shooting)Environment (Marine Environment)Environment (Parks)Environment (toxic spills/Tailings ponds)Environment (wolves)Events (attended one - leave specifics in the comments)Fisheries (Aqua Culture)Fisheries (Cannery)Fisheries (Fishing issues)Ferries (Bella Coola)Ferries (Discovery Coast)Ferries (haida gwaii)Ferries (General)First Nations (General concerns)First Nations (Gitxaala)First Nations (Haida)First Nations (Heiltsuk)First Nations (Kitasoo)First Nations (Lax Kw'alaams)First Nations (Metlakatla)First Nations (Nisga'a)First Nations (Nuxalk)First Nations (Truth and Reconciliation)First Nations (Undrip)Green Economy/Energy (Geo Thermal)Green Economy/Energy (Solar)Green Economy/Energy (Tidal)Green Economy/Energy (Wind)Health (aboriginal)Health (Alxheimer's)Health (Ambulance/Paramedics)Health (cancer care)Health (dental care services)Health (dentist)Health (Disabilities)Health (Doctor)Health (Health professional)Health (Hemodialysis)Health (Home care)Health (Human embryos)Health (lead in water)Health (Maternal)Health (Medication)Health (midwifery)Health (MSP)Health (NHA Employee)Health (NHA BUS)Health (Opthalmology)Health (patient care quality concerns)Health (pharmacare)Health (hospital concern)Health (ptsd)Health (Travel assistance program)Health (Waitlists)Health (other - explain in comments)Highway of Tears (has proposal)Highway of Tears (MMIW connection)Highway of Tears (Interested)Housing (Affordability)Housing (BC Housing)Housing (Facing eviction)Housing (Housing insecure)Housing (landlord)Housing (M'akola housing)Housing (Pet owner facing descrimination)Housing (Rental Assistance Program)Housing (Repairs not being done)Housing (RTB)Housing (RTB hearing)Housing (Seniors)Housing (tenant)ICBCLegal AidLiquorLGBT (GSA)LGBT (identifies LGB)LGBT (Prince Rupert Pride)LGBT (Rainbow Walkway)LGBT (Trans Identify)Local Government (Municipal)Local Government (regional district)LotteriesLNG (General)LNG (opposed)LNG (pro)MCFD (Aboriginal relations/Conflict with MCFD)MCFD (childcare subsidy)MCFD (Child protection issue)MCFD (Custody issue)MCFD (fostering issue)MCFD (General)Ministry Staff (Comment below with specifics)Mental Health (Access issues)Mental Health (Addictions)Mental Health (Children and youth)Mental Health (Mental health professional)MSDI (BC Buss pass program)MSDI (Bus pass clawback)MSDI (Cheque late/not received)MSDI (Complaint about 1-866 line)MSDI (Complaint about local office)MSDI (Issues with application)MSDI (PWD)Northern Gas Development (Pembina)Northern Gas Development (Altagas)Partner Interests (General)Partner Interests (Press releases)Port EdwardPower BCPrince Rupert Friendship HousePort of Prince RupertPublic SafetySeniors (Advocate for senior family member)Seniors (Is a senior)Solicitor GeneralTourismTrade, Immigration and MulticulturalismTranportation (BC Ferries)Tranportation (BC transit)Tranportation (highways)Tranportation (Minister of Transportation)Tranportation (Via Rail)Unions (BCGEU)Unions (BCNU)Unions (CMAW)Unions (CUPW)Unions (HEU)Unions (UFAWU)Wildfire (Affected)Wildfire (general)Wildfire (Highway 20)Wildfire (Southern Interior)Wildfire (Cariboo Chilcotin)Wildfire (Kootenay)WomenWorksafe (claim denied)Worksafe (hearing loss)Worksafe (Problem with a claim)Worksafe (Self employed)Worksafe (workers' advisers centre)WorksafeSelect which apply, use Crtl button to select more than oneWhich mailing lists?Mail ChimpChristmas CardBirthday CardAdd notes or other information herePotential volunteer?YesNoUploadAccepted file types: jpg, pdf, Max. file size: 2 MB.Upload a photo of their business card Δ