EN EN FR I am interested in registering for:(Required)After School Club (21 Oct 2024 to 16 Dec 2024)Phase 2 YMCA Women's Entrepreneurship Launchpad (21 Nov 2024 to 05 Dec 2024)Interview Skills Workshop (27 Nov 2024)Information for Participants: First Name(Required)Last Name(Required)Gender(Required)MaleFemalePhone(Required)Email(Required)Date of Birth(Required) DD slash MM slash YYYY Primary LanguageEnglishFrenchAmharicArabicBengaliChineseDariFarsi (Persian)FilipinoHindiKinyarwandaPashtoPunjabiSpanishSwahiliTagalogTigrignaUkrainianYiddishYorubaCountry of BirthCanadaAfghanistanAlbaniaAlderneyAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBophuthatswanaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanary IslandsCayman IslandsCentral African RepublicChadChileChina (PRC)ColombiaComorosCongo (Congo Republic)Congo Democratic Republic ofCosta RicaCote d Ivoire (Ivory Coast)CroatiaCubaCyprusCzechia (Czech Republic)DenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEswatini (formerly Swaziland)EthiopiaFijiFinlandFr. PolynesiaFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuadaloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKampuchea DemocraticKazakhstanKenyaKerguelen IslandsKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorthern IrelandNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre Et MiquelonSt. Vincent And The GrenadinesStatelessSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwan (ROC)TajikistanTanzaniaThailandTibetTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & CaicosTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamWalesWestern SaharaYemenYugoslaviaZaire (now Congo DRC)ZambiaZimbabweCurrent Immigration Status in CanadaPermanent ResidentPR - Economic Class - RNIPPR - Other EconomicPR - Approved in PrincipleProvincial Nominee Awaiting PRGovernment Assisted Refugee (GAR)Private Sponsored Refugee (PSR)CUAET Visa HolderRefugee Claimant (RC)Study Permit - International Post-Secondary StudentTemporary Foreign WorkerWork Permit - Post-Graduation Work PermitWork Permit (Open)Work Permit (Closed)Canadian Citizen - By BirthNaturalized Canadian CitizenVisitor Visa - Temporary Resident VisaUCI# / PR Card Number (8 or 10 digits)Special Requirements/Considerations Allergies Carries Epi-pen Physical Disability Please specify any allergies or dietary restrictions you may haveMedical Conditions/MedicationsInvite Link Consent(Required) I understand that invitation links for online events, when applicable, will be sent to me later via the provided email address. (Required) Newsletter Subscription I would like to subscribe to receive emails and newsletters regarding updates on this event, as well as future programs and events. Photo Consent I authorize the staff to take photographs of me during this event and to display and otherwise use these photographs without charge, solely for the purpose of promoting and reporting on this event. This field is hidden when viewing the formFee Information Source (Admin Only)(Required)This field is hidden when viewing the formRemarks Placeholder (Admin Only)(Required)Would you like us to know something regarding your registration request?Were you able to attend Phase 1? What career would you like to practice interviewing for? (Example@ Nursing, construction, finance, social work, ect.) This field is hidden when viewing the formStaff to be Notified (Admin Only)(Required)ula.zhou@vdicss.orgThis field is hidden when viewing the formEvent-to-Program Mappings (Admin Only)(Required)000200030003This field is hidden when viewing the formProgram (Admin Only)(Required)This field is hidden when viewing the formStaff Email (Admin Only) This field is hidden when viewing the formDate Visited (Admin Only) DD slash MM slash YYYY
