Full Name *

Phone *

Email *

Address *

City *

Postal code *

LinkedIn URL

Are you eligible to work in Canada or possess a valid work permit? *

Yes, I am a Citizen/ Permanent Resident and eligible to work in Canada

Yes, I possess a valid Open Work Permit with at least one year validity after the program start date

No, I am not eligible to work in Canada

How many years of professional work experience (full or part-time) do you have in your life? *

Less than 1 year

1 - 3 years

3 - 5 years

5 years or more

How many years of professional work experience (full or part-time) do you have in Canada? *

Less than 1 years

1-3 years

3-5 years

5 years or more

What positions/ jobs did you do in the past 5 years and in which city/ province? *

Do you identify as a member of the 2SLGBTQI+ community? *

Yes

Prefer not to say

Do you identify as First Nations, Metis, and/or Inuit? If yes, select all that apply. *

The official language in Canada is English and French. What languages do you prefer? *

English

French

Prefer not to say

What language do you most commonly speak at home? *

In our society, people are often described by their race or racial background. For example, some people are considered “White” or “Black” or “East/Southeast Asian,” etc. Which race category best describes you? Select all that apply. *

White (e.g., European descent)

Black (e.g. African, Afro-Caribbean, African-Canadian descent)

Latino (Latin American, Hispanic descent)

East Asian (e.g. Chinese, Korean, Japanese, Taiwanese descent)

Central Asian (e.g. Afghans, Tajiks, Kazakhs, Uzbeks)

Southeast Asian (e.g. Filipino, Vietnamese, Cambodian, Thai, Indonesian, or other Southeast Asian descent)

South Asian (e.g. East Indian, Pakistani, Bangladeshi, Sri Lankan, Indo-Caribbean)

Middle Eastern (Arab, Persian, West Asian descent, e.g. Afghan, Egyptian, Iranian, Lebanese, Turkish, Kurdish)

Prefer not to say

If you were not born in Canada, please indicate how recently you moved here. *

Are you a person with a disability? (According to The Accessible Canada Act, a disability is any impairment, including a physical, mental, intellectual, cognitive, learning, communication or sensory impairment — or a functional limitation — whether permanent, temporary or episodic in nature or evident or not, that in interaction with a barrier, hinders a person's full and equal participation in society) *

Yes

Prefer not to say

What is your highest level of education in your life? *

University certificate, diploma, or degree at the bachelor level or above

University certificate or diploma below bachelor level

College, CEGEP, or other non-university certificate or diploma

Apprenticeship or trades certificate or diploma

Secondary (high) school diploma or equivalent

No certificate, diploma, or degree

Prefer not to say

What is your highest level of education in Canada? *

University certificate, diploma, or degree at the bachelor level or above

University certificate or diploma below bachelor level

College, CEGEP, or other non-university certificate or diploma

Apprenticeship or trades certificate or diploma

Secondary (high) school diploma or equivalent

No certificate, diploma, or degree

Prefer not to say

In the past five years, have you worked in a sales role in the cleantech industry? *

Yes, I have worked in a sales role in the cleantech industry

I have worked in a sales role in another industry outside of cleantech

I have worked in a different role in the cleantech industry

No, I have not worked in a sales role nor have I worked in the cleantech industry

What was the annual base salary from your most recent job? If you were paid hourly, please calculate your salary annually based on hours worked

Please select the option that best describes your goal upon completion of this program: *

Simply Learn new skills but I am not planning to change jobs or get promotion

I am looking for a new job in a new company with the skills I have acquired

I will use my new skills to apply for a promotion/ new position within my existing company

Prefer not to answer

Are you able to make time to attend this new cohort below? *

Yes, I can make time to attend the Cohort 5: Tuesday & Thursday 6pm-8pm PST starts November 26 2024 and ends March 14 2025

Are you able to make a commitment to attend at least 90% of the live online classes starting on November 26, 2024, and to complete the program on March 14, 2025? *

Yes

Are there any accommodations you need to participate in the program? Please specify:

Consent *

Your personal information will be collected for determining your potential to participate in this project. If you have any questions about the collection of this personal information, please contact PICS Vancouver Office at 604-324-7733 or surrey office 604-596-7722. This information is being collected by Progressive Intercultural Community Services Society under Freedom of Information and Protection of Privacy Act (FOIPPA), section 26." I accept to be added to the waiting list of applications, and understand that my application will be reviewed and assessed on a first come first served basis. I, authorize Progressive Intercultural Community Services Society (PICS), any other service providers, schools, and community agencies to disclose/exchange my personal information, including the usage of my photo and /or video in the following: (1) Information regarding my training, employment history, and needs. (2) Information regarding my progress and follow-up results. (3) Attendance at scheduled interviews and interventions at the above agencies. (4) Information regarding marketing of the program. The information disclosed/exchanged will be treated as confidential and will be used only by the agencies listed above in conjunction with your application for service. I agree to also receive marketing and promotional emails and newsletters from PICS regarding upcoming education and training programs.