(English) - Workshop registration - English version (New)

Please choose the following workshops that you would like to register.

Event: Employment Engagement Event Meeting RBC Employer

Date: SEP 13TH 2024 Time: 1:30pm to 4:00pm Location: Success Burnaby Address: 200,5172 Kingsway, Burnaby, V5H2E8

Have you ever registered with or received services from S.U.C.C.E.S.S. Burnaby office?*

YesNoNot Sure

Immigration Status *

Legal Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Please provide your Permanent Resident Card (PR Card) ID# or Immigration document number UCI# or CUAET# issued by IRCC.

(FOSS/GOMS Client ID, Temporary Resident, Minister's Permit Number, IMM5292, IMM5509, IMM1000, CAUET#)

Date of Birth

Date

Immigration Category

Landing Date

Date

City of Residence

Postal Code*

Gender

Country of Origin*

Education

Mother Tongue*

Where did you hear about our Services?*

Consent to collect my personal information*

Yes, I give my consent

Consent to use my photos/electric images on the social media*

Yes, I give my consentNo

Consent to collect my personal information among S.U.C.C.E.S.S. offices*

Yes, I give my consentNo

Consent to receive email or phone notices for upcoming workshops, community connection activities and events*

Yes, I give my consentNo

Personal information collected and maintained by the S.U.C.C.E.S.S. Immigrant Settlement & Integration Program is subject to the provisions of the applicable federal, provincial or territorial privacy and access to information legislation or the Personal Information Protection and Electronic Documents Act (PIPEDA) and the Personal Information Protection Act (PIPA).Therefore, information shared in-person, by phone, email, or online will be kept confidential in accordance with this legislation and will be used only to assist staff in providing service, determining service eligibility and generate anonymous statistics. Confidentiality of the information can only be breached when: required by law or by an order of court; there is reasonable ground to believe that such release will prevent harm; it is necessary to disclose the information to the personnel of S.U.C.C.E.S.S. or accreditation agencies that are authorized to receive such information in the course of their duties. All records are confidential and retained in a secure and protected environment. S.U.C.C.E.S.S. is required to record information pertaining to personal and service information on a federal Immigration, Refugees and Citizenship Canada database that monitors service outcomes.