Career Paths for Skilled Immigrants - Intake Questionnaire Name * Phone number * Email * City Region Lower mainlandVancouver IslandInteriorFraser ValleyNorthernTri-cities When did you become a PR? Work experience pre-landing (# of years) Work experience in Canada (# of months) Are you currently working? YesNo What was your occupation in your home country? GP Doctor Medical Sonographer RN LPN Healthcare Assistant Other Please specify other occupation Are you receiving/have you received EI (Employment Insurance) in the past 5 years, including maternity/paternity benefits? YesNo Are you currently receiving BCEA (Income Assistance)? Have you participated in the Skills Connect program? YesNo Service provider - Skills Connect What is your year of birth? How did you hear about the program? Immigrant Settlement AgencyPlanning for CanadaWebsiteNewspaperFriends/relativesWorkBC/Case ManagerYVR (CANN)PASS ProgramSocial mediaOther Other Have you had an English assessment? YesNo Did you complete the test within 1 year? YesNo Test scores IELTS-General Score Reading IELTS-General Score Writing IELTS-General Score Speaking IELTS-General Score Listening IELTS-Academic Score Reading IELTS-Academic Score Writing IELTS-Academic Score Speaking IELTS-Academic Score Listening CELBAN Score Reading CELBAN Score Writing CELBAN Score Speaking CELBAN Score Listening CLB Score Reading CLB Score Writing CLB Score Speaking CLB Score Listening Are you interested in BC Care Aide Registration? Yes No * Have you been referred to an HCA NCAS? Yes No * Thank you. Our Career Coach will contact you within a week to follow up with your application. If you are eligible, we will contact you again for further information and invitation to attend an information session.