What is your legal status in Canada? *

Canadian Citizen

Permanent Resident

Person granted refugee status

Only individuals with any of the above legal status are eligible to apply

Are you legally entitled to work in Canada? *

What best describes your arrival status in Canada *

Province/Territory *

Only residents from the above are eligible

Please specify your Gender *

Do you self-identify as a member of any of the following Equity-deserving groups? ** Other Racialized communities includes South Asian, Chinese, Black, Filipino, Latin American, Arab, Korean, Japanese, Southeast Asian, West Asian, and others

Please indicate your age group? *

18-24

25-34

35-54

55+ or older

Only Individuals age 18 and above are eligible to apply

What is your preferred official language of communication? *

English

French

Do you have at least CLB Level 5 (or equivalent) English proficiency required to complete this training? *

Canadian Language Benchmark (CLB)

Have you taken any of the English proficiency tests in the last 2 years? *Please note you will have to provide proof if requested

What is your current employment status? *Please note: Your employment status will not impact the eligibility for the training

If you have a disability and/or health concern, which of the following apply? *Disclaimer: We are collecting data to see what groups need more services. This information will not be stored with personal id.

What support do you need to complete this training? (Check all that apply) *

What is your primary goal after completing the GBR training for Professional Development? *

Find new employment

Re-enter the workforce

Advance in my current job/career

Professional Development

Rate your current knowledge/skills in the following areas (1=None, 2= Basic, 3=Intermediate, 4=Proficient 5= Expert): *

Green Building fundamentals
Energy retrofitting techniques
Building codes & regulations
Industry safety practices
Renewable energy systems

What is your usual mode of transportation? *

How did you hear about this training project? *

Are you available and committed to complete the 9-weeks training? *

5 weeks GBR training + 4 weeks practicum/ employment

Emergency contact name

Emergency contact number *

Emergency contact relationship *

The information provided above is confidential and will be used solely for the purposes of assessing eligibility for participation in the Intercultural Pan-Canadian Green Buildings and Retrofits Training Project. Participation is voluntary, and any personal or community information will be administered in accordance with the Privacy act (R.S.C., 1985, c.P-21) and the Department of Employment and Social Development Canada Act (S.C. 2005, c. 34). Participants will be notified if they are on the wait-list or enrolled. I have read the above information and would like to submit my intake form *

I certify all personal information provided in the participant Intake form is accurate and complete. I understand that any omissions or dishonesty on my part may result in either delayed processing or being withdrawn from the training project. If yes, please sign below: *