Back To Settlement Services First Name* Last Name* Address* What is the best way to contact you?—Please choose an option—PhoneEmail 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-BinaryPrefer not to say Marital Status*—Please choose an option—SingleMarriedCommon LawSeparated 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* ID# ICT-CLT (Optional) Education*—Please choose an option—NoneElementaryHigh SchoolTechnical/TradesDiplomaBachelor'sGraduatePost-Graduate Are you employed?*—Please choose an option—YesNo If no, what type of employment are you looking for?* First Language* Other Languages Spoken* Do you need an interpreter?*—Please choose an option—YesNo If yes, what langugage?* English Language Level*—Please choose an option—CLBTOEFLIELTSCANTESTNot Applicable Your Level or Score Language Service: In which official language do you require service?*EnglishFrench Are you currently living in Saskatchewan? YesNo Date arrived in Canada Date arrived in Saskatoon/Saskatchewan What services do you need? Please select one or more.*English Language AssessmentEnglish ClassesEmployment ServicesHealthcareHousingImmigration ProcessCredential RecognitionChildcare/SchoolsComputer SkillsSettlement PlanningEducation/Career AdvancementFinancial LiteracyEntrepreneurship/BusinessDriving/TransportationPrint/Copy/Scan DocumentsCommunity ResourcesOther How did you hear about our settlement services?*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 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.YesNo Subscribe to receive email communications from SIA about programs, events and announcementsYesNo Δ
