Intake Form

Full Name (required)

Phone

Email (required)

Are you currently working?
YesNo

What is your immediate employment goal?

What challenges have you been facing in finding employment?

Have you taken any other funded programs within the last four years? This includes Academic upgrading or any training through Alberta Works or EI.

Have you applied to or are you interested in taking any further training within the next year?

List any reasons why you might not be able to maintain continuous employment for six months.

What do you think will help you be successful in finding work?

Are you currently available to attend the program Monday – Friday, 9 am to 4 pm until you find full-time employment?
YesNo

What is your eligibility to work in Canada?

Canadian CitizenPermanent ResidentWork Permit

Note: The information that you provide is collected and managed in compliance with the Freedom of Information and Protection of Privacy Act (FOIP) and is used only for the purpose of determining eligibility for participation in the Opportunities Knock Program.

How did you hear about us?