• Youth Employment Connect - Training for Jobs

    Client Registration Form

  • Please complete this form clearly. The information you provide will assist S.U.C.C.E.S.S. in determining your employment and training needs. All information given will be kept confidential.

    Check out more details about the program at our program page

  • Personal Information

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  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*

  • Country of Origin*
  • Marital Status?*
  • Do you have any dependents?*
  • Emergency Contact*

  • Residency Information

  • Residential Status*

  • Landing Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Immigration category on arrival?*

  • Years in Canada*

  • Support & Commitment

  • Have you received in the past or currently receiving the following services*
  • Please choose the option regarding Employment Insurance (E.I.) that applies to you *
  • Have you attended any E.I. funded training?*
  • Do/Did you have a Case Manager?*
  • Have you been or are you a Youth in Care with the Ministry of Children and Family Development?*
  • Are you currently attending any training programs/school?*
  • Which best describes your current employment status?*
  • Have you attended any government-sponsored EMPLOYMENT programs in Canada?*

  • Education & Professional Experience (Local and Overseas)

  • What is your highest level of education?*

  • Education History*
  • List your last 3 positions including volunteer work (start with the most recent job). Or you can attach your resume in the next field*
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  • What is your English level?*
  • What licenses/trade certificates do you have?*
  • What is your computer skill?*

  • Employment Support

  • Have you enrolled in the Youth Employment Connect Program before? *
  • What kinds of job are you looking for?*
  • Are you a worker whose job/employment has been directly impacted by changes in the forestry sector, such as mill closures, curtailments and the cessation of forest harvesting?*
  • Has your community been impacted by changes in the forestry sector, such as mill closures, curtailments and the cessation of forest harvesting?*

  • Transportation

  • Do you have a valid BC driver’s license?*
  • Do you have access to transportation?*

  • Source of Information

  • How did you hear about our program?*

  • Identification

  • ID you can present*

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  • Filing Date*
  • Should be Empty: