ConnectHER National Registration form

In collaboration with Fanshawe College and the ConnectHER program, BCCWITT is looking for tradespeople to join the ConnectHER Skilled Trades Community!

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Find mentorship, resources and belonging with other tradespeople in the ConnectHER Skilled Trades Community Hub.

This is a safe space for women who work or are looking to work in the skilled trades. Men are welcome in most of the spaces, however please remember to be respectful and give space when necessary.

If you have any questions, or troubles with the form, please reach out to info@bccwitt.ca.
Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Street Address*
City*
Postal Code*
Province/Territory*

British ColumbiaAlbertaSaskatchewanManitobaOntarioQuebecNew BrunswickNova ScotiaPrince Edward IslandNewfoundland and LabradorNunavutNorthwest TerritoriesYukon
If in BC, select your Economic Region:*

Lower Mainland/SouthwestVancouver Island and CoastThompson-OkanaganKootenayCaribooNorth Coast/NechakoNorth EastI'm not in British ColumbiaI'm not sure what economic region I live in
What is your gender?*

WomanNonbinaryManOther
What are your pronouns?*

she/herthey/themhe/himOther
What is your primary trade?*
What is your apprenticeship level?*

Pre-apprenticeApprenticeJourneypersonManagementTrades EducatorDon't KnowOther
What is your employment status?*

Employed in my tradeLooking for work in my tradeEmployed - not in my tradeAlly of women in the skilled tradesOther
Do you have experience using SLACK?*

YesNoOther
Do you have a working computer?*

YesNoOther
Do you know of any potential accommodations you may need in order to fully participate in the technical components of this program? (SLACK, Virtual trainings, virtual meetups, etc.) *
I agree to be kind and courteous to everyone within the ConnectHER Community, and recognize my participation is only contingent on my behaviour to follow the group rules.*

YesOther
Participant Collection of Personal Information Consent
All personal information on this form and other information related to your participation in the ConnectHER program (“Personal Information”) is collected pursuant to sections 26(c), 26(e), and 27(1)(a)(i) of the Freedom of Information and Protection of Privacy Act (the Act). This information will be used for administrative, evaluation, program development, and/or research purposes, including to determine your eligibility for participation in the program.

If you have any questions about the collection and use of this information, please contact info@bccwitt.ca.

Consent and Agreement
Effective as of the date set out below, and in consideration of the opportunity for me to participate in the ConnectHER program, I:
- Certify that all of the information that I have provided is accurate and complete;
- Consent to my Personal Information being used to contact me.
By signing this form I agree that BCCWITT can retain my personal information for the purposes of contacting me. I understand that BCCWITT will not release my personal information to any individual or organization except as outlined above, without my express consent in writing.*

Clear
Date of submission*

MonthDayYear
Date
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