Back To Employment Programs First Name* Last Name* Address* Email Address* Phone Number* Birth Date* Age Range*—Please choose an option—17 and Under18-3031-4041-5051-6061+ Gender*—Please choose an option—WomanManNon-BinaryTwo-SpiritPrefer not to say Country of Origin* Resident Status*—Please choose an option—Permanent Resident (SINP)Permanent Resident (Family Class)Permanent Resident (Economic Immigrant)Permanent Resident (Express Entry)Refugee (GAR)Refugee (PSR)Open Work PermitClosed Work PermitTemporary Foreign WorkerStudy PermitVisitor VisaCanadian Citizen IRCC UCI Number (PR Number)* Indigenous Ancestry (For newcomers, select not applicable)*—Please choose an option—First NationsMétisInuitNot Applicable Education*—Please choose an option—NoneElementaryHigh SchoolTechnical/TradesDiplomaBachelor'sGraduatePost-Graduate Language Level*—Please choose an option—CLBTOEFLIELTSCANTESTNot Applicable Speaking—Please choose an option—Literacy12345678 Listening—Please choose an option—Literacy12345678 Reading—Please choose an option—Literacy12345678 Writing—Please choose an option—Literacy12345678 Your Score Upload image of your LARC assessment here:(Upload photo of the front of card) Language Service: In which official language do you require to receive service?*EnglishFrench Are you currently living in Saskatchewan? YesNo Date arrived in Saskatoon/Saskatchewan Year Date arrived in Canada Which program(s) are you applying for?*MentorshipLITE (Learning Interculturalism Through Employment)PACT (Professional Advancement and Career Training)E4E (English for Employment)CareerNetEmployment Counselling ServicesB2E(Bridging to Employment) Do you prefer morning, afternoon, or evening classes?*—Please choose an option—MorningAfternoonEveningNo preference How did you hear about our programs?*Social Media (Facebook, Instagram, LinkedIn, Twitter)Internet Search (Google, Bing, Yahoo)Referral Agency (NAARS, IWS, LARC)Community OrganizationSIA StaffFamily or FriendsMedia (News)Advertising (Poster or Brochure) If you have a resume, please submit the most current copy Information Release Waiver: Consent to sharing personal information within SIA I consent to the Saskatchewan Intercultural Association to obtain, use, and release my personal information to any person or agency as may be necessary to support my learning and/or establish eligibility for my participation within other Saskatchewan Intercultural Association programs.YesNo Media Release Waiver: Consent to collect, use, and release pictures or comments I give consent to the Saskatchewan Intercultural Association (SIA) to use photographs taken of myself and to use my recorded comments in the Saskatchewan Intercultural Association's newsletter, on the agency's website and Facebook page, and in other promotional materials such as PowerPoint presentations, brochures, and displays.These photographs and comments will be for the sole use of the Saskatchewan Intercultural Association and will not appear with your name unless requested.YesNo Email Release Waiver: Consent to electronic communications I give consent to the Saskatchewan Intercultural Association to use my email address to contact me about SIA-related programs, services, and events. Examples of communications would be program information, registration deadlines, upcoming events and classes, and SIA news. I understand that I can opt-out and unsubscribe at any time.YesNo Subscribe to receive email communications from SIA about programs, events and announcementsYesNo Δ