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Registration Form

Registration Date: 27 - Mar - 2023
Thank you for your interest in our services. Directions for Immigrants is a career service for internationally educated immigrants living in Alberta, Canada. Prior to completion of this registration form we recommend calling our office to book an appointment to see a career coach. Please call us at 403-770-5155 or toll free at 1-877-297-2553.

Completion of the registration form will take approximately 30 – 40 minutes, please complete the form well in advance of your appointment. The blue explanation points (!) provide tips for completing the form and also definitions for some of the drop-down options.

All information is collected and managed in compliance with the Freedom of Information and Protection of Privacy Act (FOIP). Your information is protected using both server authentication and data encryption, ensuring that your information is safe, secure and private.

What training and/or employment service(s) are you needing? Select all that apply. If you are not seeking one of the services listed below, this may not be the right form for you.
*

Personal Information

Last Name *
First Name *
Preferred First Name
Gender  *
Date of Birth *
Social Insurance Number *
Marital Status  *
Dependents  *
Address
Apartment / Suite
Street Address *
City *
Province  *
Postal Code *
Phone *
If you agree to receiving text messages from us please indicate your cell phone provider. The provider is needed for our staff to send a text from an email platform.
Alternate Phone
Email *
Alternate Email

Identity Factors

Are you a person with a disability? *
Do you identify as being Canadian Indigenous person? *
If Yes, select one of the following *
Do you consider yourself to be a visible minority? *
Are you or have you been a Convention Refugee? *
If yes, what is your country of origin? *
Do you identify as being an immigrant? *
What country did you immigrate from? *
What is your landing date in Canada ? *
What is your landing date in Alberta? If you landed in Alberta selected the same date as when you landed in Canada. *
What is your current immigration status?  *
What is the date the you became a Canadian citizen ?

Language

What is your First Language? *
Was your post-secondary education provided in English? *
Have you completed a Language Assessment? *
If yes which language assessment, did you complete? *

What are your language benchmarks in the following CLB categories? To convert your IELTS or CELPIP scores to CLBs refer to https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/operational-bulletins-manuals/standard-requirements/language-requirements/test-equivalency-charts.html If you selected ‘other’ leave this question blank.

Listening
Speaking
Reading
Writing

Source of Income

What is your current primary source of income? “EI” stands for “Employment Insurance” *

Current/Previous Canadian Employment Information

What is your employment status?  *
Current or most recent employer name in Canada.
What is/was your position title? * Start Date *
How many hours do/did you work each week?  * End Date
What is/was your wage/salary before deductions at your current/most recent place of employment? *
How frequently are/were you paid?  *
Is your current/most recent employment permanent, temporary or seasonal? *


If not working, selected the response that best describes your reason for leaving your most recent place of employment.

Professional Information

What is your occupational goal in Canada? *
Are you Internationally Educated Health Professional? *
How many related years of experience to your occupational goal do you have outside Canada? *
Do you have a specialty in your profession? *
If yes, what is your specialty? *

Professional Employment Information


Do you have experience in your profession prior to immigrating to Canada? *
What is your most recent professional employment prior to immigrating to Canada?
Position Title *
Start Date *
Company Name *
End Date *
Company Country *
Company City *
What is your second most recent professional employment prior to immigrating to Canada?
Position TitleStart Date
Company NameEnd Date
Company Country
Company City
Do you have experience in your profession in Canada? *
If yes, what was your position title? *
Start Date *
Company Name *
End Date
Company Country *
Company City *

Education Information


What is the highest level of formal post-secondary education that you have completed? *
Institution Name *
Start Date *
Specialization of Degree/Diploma/Certificate *
End Date
Institution Country  *
Institution City *
What is the second highest level of formal post-secondary education that you have completed?
Institution Name Start Date
Specialization of Degree/Diploma/Certificate End Date
Institution Country
Institution City
If you are a medical doctor did you complete your medical degree from a medical school listed in the World Directory of Medical Schools? *
Do you have a specialty degree? *
Did you complete high school? (equivalent to grade 12 in Canada) *
What is the date you started your high school education (equivalent to grade 10 in Canada)? *
What is the date you graduated from high school (equivalent to grade 12 in Canada)? *
Have you received government-funded training in the past 4 years? *

WCB Acknowledgement


Directions for Immigrants is an Alberta Works Employment and Training Service. If eligible I may participate in Job Placement services. Job placement may include job shadowing, work experience or a casual labour pool.
Only while engaged in the activities of job shadowing, work experience for a casual labour pool,
I understand that while I am registered and attending an employment and training program funded by the Government of Alberta (GOA), I am deemed to be a worker of the GOA for the sole purpose of receiving workers' compensation benefits under the Workers' Compensation Act. If injured in an accident, I will be entitled to claim workers' compensation benefits and have resigned my right to take legal action against the GOA, any other employer or worker covered by the Workers' Compensation Act. I further understand that I am not deemed a worker of the GOA while I am engaged in homework, study, or e-learning when outside of the training provider's institution/facility.

Confirmation of WCB acknowledgement *

How did you hear about us?

Please provide explanation if required.

Emergency Contact


First Name
Last Name
Relationship
Phone Number
Email Address

Declaration / Content

The personal information you provide is being collected to determine your eligibility for different social-based supports and benefits offered by the Government of Alberta under Alberta Supports. If you choose to apply, the personal information you provide will then be used and disclosed in the application process, for ongoing eligibility verification, and for delivery of those programs, benefits or services offered by the Government of Alberta through Alberta Supports, if your eligibility is confirmed. The personal information provided to Alberta Supports is collected, used and disclosed under the authority of sections 33 to 40 of the Freedom of Information and Protection of Privacy Act and various statutes establishing the programs include in Alberta Supports. To see the list of the programs, including the legislation authorizing each program, you can click Authorizing Legislation or request a printed copy at an Alberta Supports Centre. If you have questions about the collection or use of your personal information, please contact Alberta Supports Contact Centre toll-free at 1-877-644-9992.

Common Notification brochure (for reference)

I certify that I have read and understood all the instructions and information accompanying this registration form and that all statements made in connection with this registration are true and complete in all respects. In addition I agree to the Privacy Policy.



This service is only available for residents of Alberta

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