Aboriginal Admission Access Category

Last Name or Surname: First name or Given Name:
Last Name or Surname is required.
Western Student Number: OUAC Reference Number:
OUAC reference number is required.

On your OUAC application, you have indicated that you are of Canadian Aboriginal ancestry. If you wish to be considered for admission under Western's Aboriginal Access Category, please complete the following form. The purpose of this Aboriginal Admission Access Category is to encourage applications from Aboriginal* individuals while offering these individuals, extended academic, personal, and cultural support necessary for transition and success, once they become students.

Note: Completion of this form is voluntary and is not required to be considered for undergraduate admission at Western. Only applicants who complete this form and submit supporting documentation will be eligible for consideration under the Aboriginal Admission Access Category.

  1. I am confirming that I am of Aboriginal* ancestry.

    A Value is required.
    *First Nations, Métis and Inuit people in Canada are considered Aboriginal based on the Canadian Constitution Act 1982.

  2. I consent to being considered for admission under Western's Aboriginal Admissions Access Category and to the collection of my personal information. I also understand that this consent process does not guarantee my admission.

    A Value is required.
  3. Next Steps - Documentation Requirement

    To be considered under the Aboriginal Admission Access Category, Western requests proof of Aboriginal ancestry which can be submitted through a copy (front and back side) of your Aboriginal documentation and sent to Indigenous Services via email, fax or mail:

  4. I intend to submit my Aboriginal documentation by:
    Fax (confidential to 1-519-850-2578)
    Email (confidential to is.access@uwo.ca)
    Mail (to Western University, Indigenous Services, WSS Building Room 2100, N6A 3K7)
    A Value is required.
  5. Note: If you have circumstances that have prevented you from obtaining Aboriginal documentation, email Zeeta Lazore Cayuga, Indigenous Liaison Admissions Coordinator, at is.access@uwo.ca with the subject heading "Zeeta- Assistance required with Aboriginal Documentation".

    For More information Contact:
    Indigenous Services (Student Experience)
    Room 2100, Western Student Services Building, 1151 Richmond Street
    London, ON, N6A 3K7
    Telephone: 1-519-661-4095 Toll free: 1-888-661-4095
    Fax: 1-519-850-2578 (confidential fax) Email: is.access@uwo.ca
    Website: www.indigenous.uwo.ca

Please check the box!

The personal information on this form is collected under the authority of The University of Western Ontario Act 1982, as amended. To view the complete Personal Information Collection Notice visit the online Academic Calendar at: http://www.westerncalendar.uwo.ca.

Undergraduate Recruitment and Admissions, Western University,
Western Student Services Building., London, ON, Canada N6A 3K7