Back To Youth Programs APPLICANT INFORMATION First Name* Last Name* Address* Email Address* Phone number* Date of Birth* Gender*—Please choose an option—ManWomanNon-BinaryTwo SpiritPrefer not to say Indigenous Ancestry (For Newcomers, select Not Applicable)*—Please choose an option—First NationsMetisInuitPrefer not to sayNot Applicable Are you a newcomer to Canada?*YesNo 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 (GSR)Open Work PermitClosed Work PermitTemporary Foreign WorkerStudy PermitVisitor VisaCanadian Citizen Education*—Please choose an option—NoneElementaryHigh SchoolTechnical/TradesDiplomaBachelorGraduatePost-Graduate Do you reside in Saskatoon? *YesNo Where do you live?* Do you need virtual services due to remote location?*YesNo Applicant Consent I am 18 years old or older and I consent to participate in the INES program through the Saskatchewan Intercultural Association. I understand that the result of my participation of the INES program could lead to employment. I consent to the sharing of my information with SIA program funders, and I understand that my information may be shared with any authorized third parties for registration purposes, and that all information gathered will be kept confidential. Date Application Signature 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 full 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. I also subscribe to receive email communications from SIA about programs, events, and announcements.YesNo Δ Sign up for our newsletter click here
