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 hello@womenbuildbc.ca. Any section marked with a star (*) is required.
Email
*
Confirmation Email
example@example.com
Name
*
First Name
Last Name
Facebook name (if applicable)
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
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Area Code
Phone Number
Street Address
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City
*
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Province/Territory
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
Prince Edward Island
Newfoundland and Labrador
Nunavut
Northwest Territories
Yukon
Postal Code
*
If in BC, select your Economic Region:
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Lower Mainland/Southwest
Vancouver Island and Coast
Thompson-Okanagan
Kootenay
Cariboo
North Coast
Nechako
Northeast
I'm not sure what economic region I live in
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What is your gender?
*
Woman
Genderqueer
Nonbinary
Male
Do you identify as an equity seeking group? Check all that apply.
*
Visible minority
LGBTQ2S+
Person with Disabilities
Youth in Care (current/former)
None of the above
Do you identify as Indigenous?
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Not Indigenous
Registered Indian
Non-status Indian
Metis
Inuit
What is your pronoun
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she/her
they/them
he/him
ze/hir
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Highest Level of Education - Primary/Secondary
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Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Level I (Grade 10)
Level II (Grade 11)
Level III (Grade 12)
Highschool graduation
Highest Level of Education - Post Secondary
No post secondary
1 Year Dip/Cert
2 Year Dip/Cert
3 Year Dip/Cert
1 Year NO Dip/Cert
2 Year NO Dip/Cert
3 Year NO Dip/Cert
Trades Diploma/Certificate (see questions below)
Some Undergraduate
Bachelor's Degree
Some Graduate
Master's Degree
Some Post-graduate
Doctorate
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Do you work as a tradesperson ("on the tools")?
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Yes
No
What is your primary trade?
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If you have a second trade, what is it?
What is your level of trade qualification?
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Pre-apprentice
Apprentice - 1st Year
Apprentice - 2nd Year
Apprentice - 3rd Year
Apprentice - 4th Year
Journey - 5 years or LESS
Journey - 5 years or MORE
Trades Qualification
Master
Red Seal
Not applicable, my trade does not require journey certification
Don't Know
Do you have a union affiliation?
*
Yes
No
If yes, what union and local?
What is your current employment status?
Employed - in my trade
Employed - NOT in my trade
Unemployed - looking for work in my trade
Unemployed - looking for work, but NOT in my trade
Used to work in trades but currently on leave (eg. disability, maternity leave)
In school (post-secondary, including trades school)
Retired
Prefer not to respond
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.
Yes, I am interested
No, I am not interested
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Are you interested in volunteering with BCCWITT?
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Yes
No
Do you want to receive emails from the BC Centre for Women in the Trades (BCCWITT)?
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Yes
No
Do you want to receive invitations for social events?
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Yes
No
Do you want to be contacted about opportunities speaking about your experiences in the trades (for example: schools, trades events, conferences, media)?
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Yes
No
Are you interested in mentorship for women in the trades?
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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.
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Do you want to be contacted about jobs in your area/trade?
*
Yes
No
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.
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Date of submission
*
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Month
-
Day
Year
Date
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