Enhanced Language Training (Healthcare) Registration Form

PROTECTED B WHEN COMPLETED

Are you a healthcare worker (PSW, caregiver, nurse, etc.)? Sign up today to enhance your English language skills and boost your career success!

PCPI Newcomer Services will contact you within two business days to discuss eligibility requirements and complete the enrollment process for the English language training program for healthcare workers.

Thank you.

Personal Information

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* 1. Last Name

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* 2. First Name

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* 3. Middle Initial

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* 4. Primary Phone Number

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* 5. Alternative Phone Number

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* 6. Email Address

Primary Mailing Address

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* 7. Street Number

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* 8. Street Name

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* 9. City/Town

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* 10. Province

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* 11. Postal Code

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* 12. Country of birth

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* 13. Date of Birth

Date / Time

Date

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* 14. Gender

Male

Female

Other (please specify)

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* 15. Immigration status in Canada?

Permanent Resident

Convention Refugee

Protected Person

Others

Specify

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* 16. Are you actively working or seeking employment in the healthcare sector?

Yes

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* 17. Do you have a valid CLB language assessment or LINC certificate?

Yes

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* 18. Which cohort do you want to register for?

Cohort 5 (Start date: May 4, 2026 and End date: June 26, 2026)

Cohort 6 (Start date: July 02, 2026 and End date: August 28, 2026)

Thank you for completing the English Language Training registration form, your information will be kept confidential and will not be shared with any parties outside of the organization, it will ONLY be used to assess your eligibility for this program.