Adult Education Workshop - Halton Multicultural Council

Adult Education Workshop

Participant Information
Name*
First Last
Email*
Phone*
Date of Birth (dd/mm/yyyy)*
DD slash MM slash YYYY
Required Information
Status in Canada*
How long you have been in Canada?*
How did you learn about this program/workshop?*
Profession / Occupation information
What is your Canadian Language Benchmark (CLB) level?
Highest Education Level*
Employment Status*
Occupation in Canada*
Intended Employment Status*
Intended Occupation*
Hidden
We will support you to become job ready by helping you write a resume, build interview skills, and help you access any other supports and services you may need. What type of employment services are you looking for?*
Hidden
Tell us about your Occupational/ Professional backgroud*
Are you already registered as a client with HMC?*
You must complete our general intake form prior receiving the service or participating in any HMC Employment Related Workshops. Please send us a request for the intake form at Employment@nullhmcconnections.com or (905) 842 - 2486 press 0
- Yes
- No
CONSENT
CONSENT FOR RELEASE OF INFORMATION*
I, hereby authorize the HMC Connections to exchange & disclose my information internally with HMC programs. I have asked HMC for assistance and give full permission to disclose my personal information (if required) to IRCC & other applicable Service Providers for support, guidance, advocacy, information or referrals.
- Yes
- No
MEDIA/ELECTRONIC/PRINT/PUBLICATIONS/COMMUNICATIONS RELEASE FORM*
I, the above named volunteer, student, employee, group, participant at the Halton Multicultural Council (HMC), unequivocally consent to the publication (including HMC social media accounts and website), release and transmission of the digital/electronic/print/photographs, to the extent that they may deemed necessary for express use thereof. This release and consent is voluntary. If you don’t wish to participate, there is no obligation on your part.
- Yes
- No
SIGNATURES
Date*
DD slash MM slash YYYY
Signatures*
By typing my name below, I confirm that I have read and understood the information above.
Date
MM slash DD slash YYYY

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