MYST Participant Information Form

In order for us to be able to get to know you and support you, please answer all of the following questions. When you have completed the form, you will be asked to sign it digitally. When you sign and submit the form, it will send you a copy for your records.

MYST Participant Information Form

General Information

How did you hear about our services? *
Are you currently registered with WorkBC? *
Last Name
First Name
Middle Name

Citizenship

What is your status? *
Gender *
Do you consider yourself a Person with a Disability? *
Do you identify yourself as a Visible Minority? *
Do you identify yourself as an Aboriginal Person? *
If you identify as an Aboriginal Person, are you:
If you identify as an Aboriginal Person, where do you live?
Are you registered as a status Indian under the Indian Act of Canada?
Did you immigrate to Canada? *
Are you a refugee? *
The language you speak and understand the best is? *
Are you a parent with children under the age of 19 living at home? *
If yes, are you a single parent?
Are you currently a direct caregiver of a senior? *

Eligibility

Are you currently? *
If employed, what is your average weekly hours:
Average hourly wage:
What is your employment type:
Years
Months
Are you an apprentice?

Employment Insurance Information and Income Information

Are you employment insurance (EI) eligible? *
Have you received or are you receiving employment insurance benefits? *
Were these maternal/paternal benefits? *
What is your current source of income? *

Employment History

How long have you spent in stable work in the last 5 years? *

Transportation

What kind of transportation do you use? *
Do you have a current driver’s license? *

Employment Training Programs

Have you ever participated in any other employment training programs such as?

Ethos Employment Training *
Older Worker Employment Training *
3 Week Employment Training at Triangle *
Youth Keep Working *
Blade Runners *
Job Options *

Education and Training

What is your highest level of education achieved? *

My Readiness to Work

Are you currently looking for work? *
Do you know how and where to look for work? *
Do you perform well in job interviews? *
Do you have reliable transportation (e.g. car, bus)? *

Barriers to Work

What if any, of the following barriers might interfere with your ability to find or keep a job? *

Program Goals

In what areas of job preparation/employment training would you like to have more assistance? *
Are you seeking: *
What communities are you available for work in? *
Can you make a full-time commitment to this program? *

Send Us Your Resume

If you are not ready to upload your resume now, please bring a copy of your latest resume at the time of interview with MYST program facilitators.

Send Us Your Resume
Maximum upload size: 268.44MB

Please sign this form

By signing below, you agree that all the information on this form is correct to the best of your knowledge.