Back To English Language Programs First Name* Last Name* Address* Email Address* Phone Number* Birth Date* Age Ranges*—Please choose an option—17 and Under18-3031-4041-5051-6061+ Gender*—Please choose an option—WomanManNon-BinaryPrefer not to say Country of Origin* Resident Status*—Please choose an option—Permanent ResidentConvention RefugeeCanadian CitizenTemporary Resident Permanent Resident Status—Please choose an option—Permanent Resident (SINP)Permanent Resident (Family Class)Permanent Resident (Express Entry)Permanent Resident (Economic Immigrant)Refugee (GAR)Refugee (PSR)Not ApplicableOther Temporary Status—Please choose an option—Work PermitVisitor VisaStudent VisaNot Applicable Indigenous Ancestry (If newcomer, please select ‘not appliable’)*—Please choose an option—First NationsMétisInuitNot Applicable Education*—Please choose an option—NoneElementaryHigh SchoolTechnical/Trades/ VocationalSome College Credit (No Degree)DiplomaBachelor'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 Language Service: In which official language do you require to receive service?*EnglishFrench Permanent Residence Number Date of Registration* Date of LARC assessment* Upload image of your LARC assessment here:(Upload photo of the front of card) Upload image of your referral card (front and back) here:(Upload photo of front and back of card) Emergency Contact Do you need child-minding for Newcomer Children? (19 Months – 6 years old)*—Please choose an option—NoYes Choose Program*Language Instruction for Newcomers to Canada (LINC)LINC Employment Related Language Training (ERLT)LINC Women LEAD (WL)LINC BlendedLINC Care for Newcomer Children (CNC) If yes, number of children: Number Ages Class Location Preference*North-East (Forest Grove Community Church)East-Central (Wildwood Mennonite Church)City Park (Main Office – 601 B 1st Ave. N)South-Central (Bridge Ministry International Church)West (Evangelical Free Church)Anywhere Class Schedule Preference*Morning and Afternoon (WL)Morning classAfternoon classEvening classSaturday classAny schedule How did you hear about this program?*—Please choose an option—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) Information Release Waiver: Consent to sharing personal information within SIA I consent to the Saskatchewan Intercultural Association obtaining, using and releasing my personal information to any person or agency as may be necessary to support my language learning and/or to establish eligibility for my participation within Saskatchewan Intercultural Association programs and any other ESL programs offered by any other organizations in Saskatoon.YesNo Media Release Waiver Consent to collect, use and release my picture 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 Travel Liability and Assumption of Responsibility Waiver Assumption of Risks: I understand that as a participant of Saskatchewan Intercultural Association’s LINC program, our class will occasionally go on field trips to various locations. As such, I recognize that I may be exposed to risks to my person during periods of transportation or at offsite premises while participating in field trip activities. I freely and voluntarily accept and assume all risks, dangers and hazards. Accordingly, I understand that despite its efforts, the Saskatchewan Intercultural Association may not be able to ensure my complete safety at all times. Assumption of Responsibility: I understand that it is my responsibility to abide by all applicable Saskatchewan Intercultural Association policies and the policies of the host location. More particularly, I understand that the Saskatchewan Intercultural Association does not carry accident or injury insurance for my benefit and also that there may be certain matters for which I could be held at fault personally if my activities or conduct fall short of what would be considered a reasonable standard for an individual. In these cases, I agree to be accountable in all respects for my own actions and not to ask the Saskatchewan Intercultural Association or its employees to accept the consequences thereof; further, I agree to be responsible for any claims made against the Saskatchewan Intercultural Association in relation to such actions. I acknowledge that I have been advised by the Saskatchewan Intercultural Association of such risks and dangers as well as the need to act in a responsible manner at all times. My signature below is given freely in order to indicate my understanding of the acceptance of these realities and in consideration for being permitted by the Saskatchewan Intercultural Association to participate in the above-mentioned program. By signing this legal document, you give up certain legal rights, including the right to sue.YesNo Electronic signature* Subscribe to receive email communications from SIA about programs, events and announcementsYesNo The LINC team will assess your application and contact you with the best class option to fit your language level and needs. Δ Sign up for our newsletter click here