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KCDS
Kootenay Career Development Society
ABOUT
JOB SEEKERS
FIND A JOB on KOOTENAY.JOBS
EMPLOYERS
POST A JOB on KOOTENAY.JOBS
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westktech
All Programs Intake Form
Participant Information
1. Date
2. First Name
3. Last Name
4. Age
5. Email Address
6. Phone Number
7. Town/City you live in
8. Preferred Personal Pronouns
He/him/his
She/her/hers
They/them/their
9. Canadian Residency Status
Canadian Citizen
Permanent Resident
Person with Refugee Status
Other
If "Other", please specify
10. Program of Interest
Headwaters
Fast Forward
RAFT
SMART Launch
West K Tech
Other
If "Other", please specify
11. How did you learn about this program?
12. Have you ever been involved in any other employment program at KCDS?
13. Are you currently working? Where?
14. Are you currently enrolled in an education or training program or do you plan on pursuing training or education in the future? Please explain:
15. Please identify any additional barriers to employment that you experience
Limited English skills
Lack of Canadian networks, work experience or knowledge of Canadian labour markert
Impacts of racism or discrimination
Mental health considerations
Disability - self identified or diagnosed
Experiencing financial hardship
Lack of transportation or living in a rural area
Other
If "Other", please specify
16. Do you have any questions?
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