BCCWITT Network

BCCWITT Network
This is the intake form for the BCCWITT network.Thank you for taking the time to join the community! If you have any questions about the form, you can contact us at info@bccwitt.ca. Any section marked with a star (*) is required.
Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Facebook name (if applicable)
Date of Birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Alternate Phone Number

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

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

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

WomanNonbinaryMaleOther
Are you a member of an equity priority group? (BCCWITT is dedicated to removing barriers and obstacles, so we ask this question to make sure we can provide you with all the supports available to you, this is not to exclude anyone from any of our programs.)*

Racialized person2SLGBTQIA+Person with DisabilitiesNewcomer or immigrantNone of the aboveOther
Do you identify as Indigenous?*

Not IndigenousRegistered IndianNon-status IndianMetisInuitOther
What is your pronoun?*

she/herthey/themhe/himOther
Highest Level of Education - Primary/Secondary*

Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Level I (Grade 10)Level II (Grade 11)Level III (Grade 12)Highschool graduationOther
Highest Level of Education - Post Secondary

No post secondary1 Year Dip/Cert2 Year Dip/Cert3 Year Dip/Cert1 Year NO Dip/Cert2 Year NO Dip/Cert3 Year NO Dip/CertTrades Diploma/Certificate (see questions below)Some UndergraduateBachelor's DegreeSome GraduateMaster's DegreeSome Post-graduateDoctorateOther
Do you work as a tradesperson ("on the tools")?*

YesNo
What is your primary trade?*
If you have a second trade, what is it?
What is your level of trade qualification?*

Pre-apprenticeApprentice - 1st YearApprentice - 2nd YearApprentice - 3rd YearApprentice - 4th YearJourney - 5 years or LESSJourney - 5 years or MORETrades QualificationMasterRed SealNot applicable, my trade does not require journey certificationDon't KnowOther
Do you have a union affiliation?*

YesNo
If yes, what union and local?
What is your current employment status?

Employed - in my tradeEmployed - NOT in my tradeUnemployed - looking for work in my tradeUnemployed - looking for work, but NOT in my tradeUsed to work in trades but currently on leave (eg. disability, maternity leave)In school (post-secondary, including trades school)RetiredPrefer not to respondOther
BCCWITT provides services and support to women, trans persons and nonbinary persons that are facing barriers to entering or advancing in a trades career. Please indicate if you are interested to being contacted by our Careers & Training department.
Are you interested in volunteering with BCCWITT?*

YesNo
Do you want to receive emails from the BC Centre for Women in the Trades (BCCWITT)?*

YesNo
Do you want to receive invitations for social events?*

YesNo
Do you want to be contacted about opportunities speaking about your experiences in the trades (for example: schools, trades events, conferences, media)?*

YesNo
Are you interested in mentorship for women in the trades?*

Yes, I'd like to provide mentorship to women in the trades or interested in the trades.Yes, I'd like to receive mentorship from women in the trades.Yes I'd like to provide and receive mentorship to/from women in the trades.No, I'm not interested in mentorship for women in the trades.
I would like BCCWITT to contact me about…

Getting help progressing in my trade through the BCCWITT Careers programVolunteer and training opportunitiesThe Be More Than a Bystander programOther
Do you want to be contacted about jobs in your area/trade?*

YesNo
By signing this form I agree that the BC Centre for Women in the Trades 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 without my express consent in writing.

Clear
Date of submission*

MonthDayYear
Date
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