HCA Training Program - Basic Eligibility Pre-Screen

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Email* This field is required.
example@example.com
Confirm Email
4
Do you reside in British Columbia (B.C.)?* This field is required.
YESNO
5
City (Please select only the city where you are currently located)* This field is required.Please note that we are currently only recruiting participants from the following communities (and directly surrounding areas): Prince George & West Kootenays regions
Please Select
Please Select
Castlegar (or within 1 hour commuting radius)
Nelson (or within 1 hour commuting radius)
Prince George (or within 1 hour commuting radius)
Quesnel (or within 1 hour commuting radius)
Trail (or within 1 hour commuting radius)
(None of the above)
6
At the time of training, will you be at least 16 years old?* This field is required.
YESNO
7
Do you have a Social Insurance Number (SIN)?* This field is required.
YESNO
8
Have you accessed any other CWRG funded training projects this fiscal year? (April 1st, 2025– March 31st, 2026)* This field is required.
YESNO
9
Are you/will you be enrolled in any other federally or provincially funded training programs at the same time as this project (December 1, 2025 - August 7, 2026)?* This field is required.
YESNO
10
What is your employment status?* This field is required.
Unemployed
Employed: Part-time [less than 30 hours/week]
Employed: Seasonally
Employed: Casually
Employed: Precariously [At risk of losing a job and in need of training for a new job]
Employed: Full-time, Permanent [30+ hrs/week & NOT precarious]
11
Are you a Canadian Citizen; or a Permanent Resident; or Protected Person entitled to work in Canada?* This field is required.
Canadian Citizen
Permanent Resident
Protected Person (& entitled to work in Canada)
None of the above
12
Please check the box to confirm your acceptance (1):* This field is required.
By submitting this form, I agree to have my submitted information shared with BC Care Providers Association's (BCCPA) contracted training partner. I understand that the training provider will contact me directly to initiate the admission process if my profile aligns with the intake criteria.
13
Please check the box to confirm your acceptance (2):* This field is required.
I acknowledge that by submitting this request, I am neither offered nor guaranteed admission to the program. This form does not serve as a waitlist. I understand that BCCPA and their training partners will only contact individuals selected for further screening.
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