• Skills Training Employment Programs

    Participant Intake Form
  • Please answer all questions on the form. if you have any questions about the form please ask program staff or see the definitions below. THANK YOU.

  • Definitions

     

    “Dependant” is defined as an individual who lives in the same household as the participant and for whom they have caregiving responsibilities. The dependant may be a child by birth, marriage, or adoption, may be a foster child, or is an adult dependent (e.g. an adult offspring with a disability).


    “Casual Employment” means employment for a determinate period where it is known that the employment will not be continuous and will have an end date, whether or not the specific end date is known at the time of employment.

    “EI claimant” means a person who is an active Employment Insurance (EI) claimant (i.e. receives employment insurance benefits) or former claimant (who has had an EI claim in the last 36 months, or for whom a claim for maternity or parental benefits has been established within 60 preceding months)

    “Employed” means an individual who is receiving, or being entitled to receive, wages for work performed for an employer and being subject to regular employment deductions, or being self-employed. An individual who is working for no wages (i.e. volunteering) is not considered employed.

    “First Nations” Officially called “Indians” in the Indian Act, this term refers to the indigenous peoples of North America located in what is now Canada, and their descendants, who are not Inuit or Métis.

    “High School” means persons who have completed a high school diploma or equivalent (e.g. General Equivalency Diploma).

    “Immigrant” means a person who is foreign born and has been permitted by immigration authorities to live in Canada permanently.

    “Indigenous” refers to persons or communities within present day Canada that include First Nations. Inuit and Métis.

    “In school or training” means a person who is in school or training and not currently employed.

    “Inuit” The Inuit are the Aboriginal inhabitants of the North American Arctic.

    “Less than High School” means a person not recognized as having completed a high school diploma or recognized equivalent and who does not have a diploma or certificate recognized in the BC labour market.

    “Married or equivalent” means a person who is married and has not separated or obtained a divorce, and whose spouse is still living or a person who is living in a common-law relationship with another person but who is not legally married that person.

    “Métis” means a person who self-identifies as Métis, is of historic Métis Nation ancestry, and is accepted by the Métis Nation. Métis people identify themselves, and are recognized, as distinct from First Nations (Indian), Inuit or European descendants.

    “Non-EI claimant” means a person who is not currently eligible for EI benefits and who is not a former claimant.

    “Non-university certificate or diploma such as a trades certificate” means a person who has a non-university certificate or diploma from a community college, school of nursing, etc. or a trades certificate or diploma from a vocational or apprenticeship training school.

    “Not in the labour force” means those persons not in the labour force who are unwilling or unable; that is, they are neither employed nor unemployed. This also includes discouraged workers, who want to work but are not currently looking for work because they believe no suitable work is available.

    “Permanent Employment” means when a job is expected to last as long as the employee wants the job, and as long as business conditions permit.

    “Person with a Disability” means an individual who self-identifies as having a physical, cognitive/mental, sensory, or developmental disability which results in limitations executing tasks or actions that relate to employment.

    “Personal Information” means recorded information about an identifiable individual other than contact information, as defined in the Freedom of Information and Protection of Privacy Act (British Columbia) (“FOIPPA”).

    “Seasonal Employment” means employment for a determinate period, where it is known that the employment will not be continuous and will have an end date, whether or not the specific end date is known at the time of employment.

    “Self Employed” means persons who are working owners of an incorporated or unincorporated business, farm, or professional practice, with or without paid help. The “un-incorporated” group includes self employed workers who do not own a business (such as babysitters and newspaper carriers). Self employed workers include unpaid family workers, i.e. persons who work without pay, on a farm or in a business or professional practice owned and operated by another family member living in the same dwelling.

    “Single” means a person who has never been married, a married person who is no longer living with his/her spouse (separated) and has not remarried, a person who has obtained a legal divorce and has not remarried, and person who has been widowed and has not remarried.

    “Social Insurance Number” means a nine digit number that is necessary to work in Canada and to access certain government services and programs, including EI and social assistance. The Government of Canada assigns SINs to all individuals who have an income or pay taxes.

    “Some Post Secondary Education” means a person who had some post secondary education (i.e. post secondary program not complete).

    “Temporary Employment” means a job that has a predetermined end date or will end as soon as a specific project is completed.

    “Unemployed” means an individual who is not employed.

    “University” means a person who has completed university and holds a bachelor’s degree, Master’s degree or PhD.

    “Visible Minority” The Employment Equity Act defines visible minorities as “persons other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour”. The visible minority population consists mainly of the following groups: Chinese, South Asian, Black, Arab, West Asian, Filipino, Southeast Asian, Latin American, Japanese and Korean.

  • Program Information

  • Name of Program: Active Generation for Employment (AGE) Program

    Agreement#: C24STE221

    Organization: S.U.C.C.E.S.S.

    Project Name: Active Generation for Employment (AGE)

    Location: Surrey

  • Participant Information

  • Date of Birth*
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    2 digit month, 2 digit day, 4 digit year
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  • Is your mailing address the same as your residential address*
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  • Gender*
  • Marital Status*
  • Support and Commitment

  • What is your Federal Official language of service?*
  • What is your Federal Official language of choice?*
  • Residency Information

  • Are you a*
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  • Choose two pieces of Participant Identification Source to be uploaded*

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  • Did you immigrate to Canada?*
  • Did you come to Canada as a refugee?*
  • Do you self-identify as a Person with a Disability?*
  • Do you self-identify as a Visible Minority?*
  • Do you self-identify as an Indigenous Person?*
  • Education & Employment

  • What is your highest level of education?*

  • Which best describes your current employment status?*
  • What is your employment type?*
  • Are you or have you been an apprentice?*
  • If yes, are you registered with the Industry Training Authority (ITA)?*
  • Are you a Certified Trades Person?*
  • If yes, did you obtain your certification in Canada?*
  • Are you registered with Skilled Trades BC?*
  • Are you currently receiving Employment Insurance Benefits?*
  • Please choose the option regarding Employment Insurance (E.I.) that applies to you *
  • Were these maternal/parental benefits?*
  • Has your community been impacted by changes in the forestry sector, such as mill closures, curtailments and the cessation of forest harvesting?*
  • 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*
  • Have you been or are you a Youth in Care with Ministry of Children and Family Development?*
  • Participant Consent

  • As part of your participation in the Active Generation for Employment (AGE) program, personal information will be collected from you including but not limited to your name, social insurance number, contact and demographic information. Following completion of the training, all Participants are required to provide feedback about the program, the outcomes of the training, and whether the training met your employment needs ("Surveys"). You may also be asked if you wish to, or may volunteer to, provide a testimonial regarding your program experience ("Testimonial").


    Collection Notice


    All personal information in the Participant Intake form, the Surveys, any Testimonial and other information related to your participation in the program (“Personal Information”) is collected pursuant to sections 26(c), 26(e), and 27(1)(a)(i) of the Freedom of Information and Protection of Privacy Act. This information will be used for administrative, evaluation, program development, and /or research purposes, including to determine your eligibility for participation in the program. This information may also be disclosed to the BC Ministry of Education, the BC Ministry of Social Development and Poverty Reduction, the BC Ministry of Indigenous Relations and Reconciliation and/or the BC Ministry of Jobs, Trade and Technology for administrative, evaluation, program development and/or research purposes, and will be provided to the Government of Canada (“Canada”) to meet reporting requirements about programs funded by Canada through the Canada-British Columbia Workforce Development Agreement. If a Testimonial is provided, the Testimonial may be used and disclosed to publicly promote the program.


    Consent and Agreement Effective as of the date set out below, and in consideration of the opportunity for me to participate in the Active Generation for Employment (AGE) program, I:

    • Certify that all of the information that I have provided is accurate and complete;
    • Certify that I understand that my agreement to provide this information and complete the surveys is a condition of participation in the program;
    • Consent to the collection (including indirect collection), disclosure, and use of my Personal Information by the Province of British Columbia and the Government of Canada for the purposes described above;
    • Consent to my Personal Information being used to contact me to conduct the Surveys and to request a Testimonial.

     

    If you have any questions about the collection and use of this information, please contact the Director, Employment and Training Programs, by telephone at 250-508-5671,or by mail at:


    Director, Employment and Training Programs
    Workforce Innovation and Division Responsible for Skills Training
    Ministry of Advanced Education, Skills and Training
    PO Box 9189 Stn Prov Govt Victoria BC V8W 9E6


    I, the undersigned, hereby accept and agree to the above terms and conditions.

  • Signature Date*
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