HCA Training Program - Intake Request

HCA Training Program - Intake Request
Thank you for your interest in applying for free health care vocational training opportunities through BC Care Providers Association (BCCPA).

We have moved our form URL. Please click the link below to access our new intake request form:

https://form.jotform.com/223411169248252
Hello!

Thank you for your interest in applying for the HCA Training Program opportunity through BC Care Providers Association (BCCPA).

Please complete this short form to:
- Confirm if you meet the basic program eligibility criteria
- Provide your contact information so we may get in touch when a training opportunity becomes available in your area**
Please click Next to proceed.
I currently reside in B.C.*

YesNo
I am 16 years of age or older:*

YesNo
I am one of the following: Canadian Citizen, Permanent Resident, or Protected person entitled to work in Canada:*

YesNo
I am in possession of a valid SIN:*

YesNo
I am currently:*

UnemployedEmployed part-time (30 hrs/week max), seasonally, or casuallyPrecariously employed (employed but at risk of job loss, and in need of new job training)Employed full-time, permanentOther
Have you participated in any Community Workforce Response Grant (CWRG) funded training projects in the last 12 months or currently enrolled in any federally or provincially funded training programs?*

YesNo
Sorry!

You do not meet the eligibility criteria at this time.

Thank you for your interest.
Please fill out the below information so we may contact you if a training opportunity becomes available in your area.

If we are actively recruiting in your city, we will follow up with you for next steps in the application process as soon as possible.
Name:*

First NameLast Name
Phone Number:*
E-mail:*

Confirmation EmailYour E-mail Address
Which city do you currently live in and plan to take HCA training?*
Why are you interested in pursuing an HCA career?*
Note: there is no limit to your submission length.
How did you hear about the HCA Training Program?*

My current employerAn HCA Training Program student (current or former)Word of mouthSocial mediaOther
Who referred you?*
Please include the individual's full name and their affiliated organization, if applicable
Check the box to confirm your acceptance:*

By submitting this form, I am consenting to have BCCPA contact me for the purpose of notifying me about future HCA Training Program opportunities. I also agree to have my submitted information shared with BCCPA's training partners, who may contact me to start the admission process directly should an opportunity become available in my area.
Check the box to confirm your acceptance:*

I understand that by submitting this request, I am not being offered or guaranteed program admission, nor does this form serve as a waitlist. This form is only intended to be informational by allowing BCCPA to notify me of current or future opportunities.
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