Please click on to the question to activate, and/or click the okay button at the end of the survey ensure your results are submitted.
Huy chexw a! Thanks for participating!

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* 1. Would you like to enter the prize draw? (More info at the end of the survey)

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* 2. Full Name (First, Middle, Last)

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* 3. What is your Phone number?

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* 4. (Optional) What is your gender?

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* 5. What is your age group?

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* 6. Do you live on reserve or off reserve?

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* 7. What is your membership/status Number 

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* 8. What is your marital status?

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* 9. Do you have dependents? If so please share details:

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* 10. Do you have a disability?

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* 11. If you do have a disability, what does your disability affect? Check all that apply

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* 12. Do you hold a valid driver’s license?

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* 13. If you do hold a valid driver’s license, what class of license do you hold?

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* 14. Do you find work/school is a struggle for you?

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* 15. What is your highest level of education or training you have completed?

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* 16. What is your highest qualification completed to date? Please name all programs you have completed

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* 17. Do you hold any occupational certificates? Click all that apply

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* 18. If you hold additional occupational certificates please specify

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* 19. If you are currently on Income Assistance how long you have been on income assistance?

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* 20. Have you received EI Benefits within the last 3 years?

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* 21. Have you received maternity/parental benefits within the last 5 years?

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* 22. Are you currently employed?

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* 23. If you are employed, how often do you work?

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* 24. Source of Income

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* 25. Would you be interested in training if you could make more money?

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* 26. If you are currently working, what industry are you in?

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* 27. Do you have experience in an industry not listed? Please share

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* 28. What previous industries have you worked in before your current job/situation? Click all that apply

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* 29. What would you say are your main barriers to employment? Check all that apply

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* 30. If main barriers to employment not listed in previous question please specify

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* 31. If you had support, what career or trade(s) would you like to complete?

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* 32. If you had the opportunity to, would you be interested in out-of-town work/training that would require temporary relocation (for example Camp job, training in another city)

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* 33. Do we have your permission to email you with important updates regarding department services? Such as Trades programs, Stitsma Services, Education Supports through Squamish Nation.

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* 34. If yes, please share your email: 

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* 35. To be entered into the prize draw please enter your first and last name to confirm that all questions were answered to the best of your knowledge. I certify that my answers are true and complete to the best of my knowledge. I am aware that this information will be shared with relevant professionals at Squamish Nation Employment Training & Trades, and is protected under the Privacy Act. All questions are voluntary and all information is strictly confidential.

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