Health Care Career Training - Intake Request Form

Your Information
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
Location
RETIRED: Which city do you currently live in and plan to take training?*
If you move cities, please email programs@bccare.ca so we can update your intake request form accordingly.
Which B.C. city do you currently live in and plan to take training?*
Eligible applicants must be B.C. residents. If you move cities, please email programs@bccare.ca so we can update your intake request form accordingly.

Programs of Interest
Please select any programs below that you are interested in being notified about if an opportunity becomes available in your community. You may select multiple options.

To learn more about each program, please visit careers.bccare.ca.
I am interested in being notified about the following opportunities:*

Health Care Assistant (HCA) Training ProgramPractical Nurse (PN)/PN Access Training ProgramTherapeutic Recreation Assistant (TRA) Training ProgramActivity Assistant Training Program*
*The Activity Assistant program is only open to those with existing HCA, HS/RCA, or equivalent credentials (LPN, RN, or Human Services – Educational Assistant/Community Support).

Referral Information

Please let us know how you heard about the program.
How did you hear about this training opportunity?*

My current employerA BCCPA funded student (current or former)Word of mouthSocial mediaCareer fairOther
Who referred you?*
Please include the individual's full name and their affiliated organization, if applicable

Final Steps

Please confirm a few more things as final steps.
Check the box to confirm your acceptance:*

By submitting this form, I am consenting to have BC Care Providers Association (BCCPA) contact me for the purpose of notifying me about future available training 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 BC Care Providers Association to notify me of current or future opportunities.
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Health Care Career Training Intake Request