LCVI TradeSkills Program Intake Form

If you need help, just ask! Call 250-754-8998

TradeSkills is a program for men interested in the trades or currently involved in the trades to upgrade their reading, writing, math, and/or computer skills. The purpose is increase opportunities in a trade, provide support during training or apprenticeship, and build community.

We offer tutoring, mentorship, trades-related workshops and access to computers and the internet.

Personal Information:
We respect your privacy. This information will remain confidential.

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Date

Personal Information

Client Name

First

Last

Date of Birth

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number

Emergency name and contact

Employment Information (current or past)

Position

Years of experience in trades

Questionnaire

Why do you want to join this program?

I want to work in the trades, but need extra support during training
I work in the trades and want to increase my skills
I want new work opportunities, but need more skills

How did you hear about the program?

referred by someone from another program
saw the postcard / poster
website / social media
other

TradeSkills Program – What interests you (check all that apply)

What is your learning goal? (please check all that apply)

Reading
Writing
Math
Communication

What is your work goal?

Is there anything that would make it hard to meet with a tutor or mentor?

Is there anything that would make it difficult to meet in a group setting?

Please check

I certify that the information provided is accurate and complete to the best of my knowledge.
I agree to be registered in your database
When registered I agree to share my contact information with the Volunteer Tutor/Mentor and Program Coordinator

TradeSkills Program Intake Form

If you need help, just ask! Call 250-754-8998

Personal Information

Employment Information (current or past)

Questionnaire

Literacy Central Vancouver Island

Address

Contact