CAP-Information Session Name* First Last Address* City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Phone*Email* Status In Canada*Permanent ResidentCanadian CitizenConvention RefugeeRefugee Claimant with Valid Work PermitOtherAre you a CAP Client at HMC?* Yes No Have you been served by a settlement worker at HMC?* Yes No If YES, Please type Settlement worker's name here EmailThis field is for validation purposes and should be left unchanged.