General Application Form 1 - Mission Community Skills Centre

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General Application Form

Fill out the form below to determine what programs you are eligible for. You can apply for as many programs as you are eligible.

General Application Form 1

How did you hear about us? * How did you hear about us?

First Name (as it appears on SIN card) *

Last Name (as it appears on SIN card) *

Preferred Name (What should we call you?) *

Social Insurance Number *

Date of Birth *

You must be between 15 and 30 years old to qualify for our programs. If you are unable to enter your birthdate, you are not eligible to participate.

Email Address *

Phone Number *

Address *

Address 2 (Apt No.)

City *

Province *

Postal Code *

Please identify the region where you live? *

Fraser Valley

Vancouver Island and Central Coast

Metro Vancouver

Salmon Arm

Language Preference *

English

French

Gender *

Male

Female

Genderqueer/Non-Binary

Other

Person with Disability *

Yes

Member of a Visible Minority *

Yes

The Employment Equity Act defines visible minorities as "persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour.

If "Yes", what ethnicity do you identify with?

Indigenous Group *

Registered on-reserve

Registered off-reserve

Non Status

Metis

Inuit

I am not indigenous

New Immigrant *

Yes

A person who has moved from their country of origin (their homeland) to another country to become a citizen of that country and has been in that country for less than 5 years.

If Yes, what year did you arrive in Canada? *

Citizenship *

Canadian Citizen

Permanent Resident

Protected persons as defined by the Immigration and Refugee Protection Act and those holding Visas are not currently eligible for any of our programs. Please check back again.

Are you currently attending school? *

In School Full Time

In School Part Time

Not in School

Level of Education (Please check the box that best describes your current situation) *

Elementary incomplete

Elementary complete

Secondary incomplete

Secondary complete

Post-secondary incomplete (College, CEGEP, etc.)

Post-secondary complete (College, CEGEP, etc.)

University incomplete

University complete

Year Completed *

Are you in receipt of, or have you made an application to: EI and/or CERB/CRB *

Yes

Employment Status (Select All That Apply) *

Employed for More Than 20 Hours per Week

Unemployed or precariously employed (part-time, seasonal or casual)

Committed to completing training and working full-time or launching a business at the completion of the program

Please note: to qualify for any of our programs, you must be working LESS than 20 hours per week, or be unemployed. For the Wild Craft Program and Empowering Youth Entrepreneurs Program, you must be committed to completing the training/starting a business and working full time.

Are you able to commit to a full time program? (Approx. 30 hours weekly)? *

Yes

Additional Information

Please electronically sign your application *

Clear

Date of your Application *

reCAPTCHA

Number

If you are human, leave this field blank.

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© 2024 Mission Community Skills Centre. Photos courtesy of Mission Community Archives and Mark Hemrich.

We would like to acknowledge that we are on the unceded traditional territories of the Leq’á:mel, Tla-o-qui-aht, Sumas, Katzie, Qualicum, Squiala First Nations, and Xwexwenaqe Xwexwilmelh people, and would like to thank these Nations for allowing us to live, work and play on their sacred territories.

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