Indian Residential School Survey

<Please leave blank any questions that you feel uncomfortable answering>

1. Did you attend an Indian residential (boarding) school?       ____ yes      ____ no
   If ‘no’ please skip to question # 6

2. Which school(s) did you attend?  ____ Mt. Pleasant. MI   ____ Harbor Springs, MI   ____Spanish, ON
   ____Carlisle Indian Training School, PA   ____ other?
   If ‘other’ please identify the name and location of the school(s) you attended:
   
   ___________________________________________________________________________

3. How long did you attend?  _____# of years.

4. What age were you when you first attended? ________________

5. Do you have photographs from when you attended Residential School?  ___ yes   ___ no
   If ‘yes’, would you be willing to share them or allow Little River Band to make copies for this documentary project and our archives?  ___ yes   ____ no

6. Did other members of your family ever attend an Indian Residential School?  If yes, please check all that apply:  If no, please skip to question # 8.
   ___ Father   ___ Mother   ___ Grandfather   ___ Grandmother   ___ Other
   
   If ‘other’ please identify your relation: _______________________________________

7. What were the names and locations of the schools did they attended? 
   
   ____________________________________________________________________________

8. Do you feel this information is important enough to be documented for historical/educational purposes of the
   Anishinaabe Nation?   ___ yes   ___ no

9. Who do you think would benefit from seeing this documentary?
   
   ___________________________________________________________________________

10. Would you be willing to participate by sharing your story?   ____ yes   ____ no

Contact Information

Name:    __________________________________________________________

Address: _________________________________________________________

Phone:   __________________________________________________________

Tribe:     __________________________________________________________
Little River Band does not give, sell or transfer any personal information to 3rd parties.
Not for Publication.

Please mail your completed survey to: (or FAX to 231-398-9372)
Little River Band of Ottawa Indians
375 River Street
Manistee, MI 49660
Attention - Historical Preservation Department