Skills for Change | Client Registration Form

First Name Last Name Contact Number

Mobile Phone

Email Street City State/Province Postal Code Birthdate:
Gender: Self Identification: Immigration Status in Canada: Country of Origin: First Language: Second Language: Current Employment Status: Source of Income: Are you currently in School?: Education (Highest Level Attained): Which program you are interested in: How did you hear about Skill for Change: Skills for Change Location:

At Skills for Change, we value the trust of our clients and stakeholders, and the public, and we recognize that maintaining this trust requires that we be transparent and accountable. We have policies and principles that guide the way our employees and volunteers conduct their activities, and are committed to making these available to you. Furthermore, Skills for Change is committed to protecting the privacy of the personal information of its employees, clients, members, donors and other stakeholders, and we are diligent in how we treat the information that you choose to share with us.

Skills for Change utilizes an online client-tracking system to help serve you better. Our system will allow us to keep in touch with you and to coordinate your activities within our organization in an effective and cost-efficient manner.

We only keep your most essential information that allows us to keep track of the services we provide you such as your name and email address and/or phone number. Protecting your personal information is very important to us. To learn more about our privacy policy, see: http://www.skillsforchange.org/policies/

By agreeing to provide Skills for Change with your contact information, you are also allowing us to load your information to applications that may house information on servers in a similar way that your email provider, online merchants and social media sites do.

If you disagree to have your information in our online application, you will still be able to access our services, but you may be missing on a richer customer service experience.

I agree to the above information: