A child under the age of majority in their province or territory of residence can access Jordan’s Principle, if they permanently reside in Canada and if the child meets one of the following criteria:

is registered or eligible to be registered under the Indian Act
has one parent or guardian who is registered or eligible to be registered under the Indian Act
is recognized by their nation for the purposes of Jordan’s Principle
is ordinarily a resident of their reserve community

If you are interested in receiving services that are funded through Jordan’s Principle please fill out the form below.

There is also additional documentation that applicants are required to fill out as requested by Jordan’s Principle. This documentation will be provided via email to the registering adult after the application is received.

Please also provide a letter of recommendation from an Elder, knowledge keeper, health, social or education professional.

All additional forms can be submitted to intake@aulneau.com

Step 1 of 7

Client's Name*
First Last
Client's Birthdate*
Gender*
Personal Pronouns?
- she/her/hers
- he/him/his
- they/them/their
- no pronoun (please just use my name)
Client's Primary Address*
Street Address Address Line 2 City Province Postal Code
Client's Primary Phone Number*
Is it safe to leave phone a message?*
- Yes
- No
Client's Email*
Consent To Correspond Via Email?*
- Yes
- No
Emergency Contact Person*
Emergency Contact Phone*
Emergency Contact Relationship?*

Jordan’s Principle Counselling Registration

Step 1 of 7

Guardianship

Terms of Service