College of the Rockies StrongerBC future skills grant (FSG) Registration Application I intend to complete the following program:(Required)Select a programActivity AssistantEnvironmental Water MonitoringGreenhouse Practices and Operational FundamentalsHave you previously attended College of the Rockies?(Required) Yes No If YES, Student Number (if known)Legal Name(Required) First Middle Last Former Last Name Last SIN(Required)DOB(Required) YYYY slash MM slash DD Address(Required) Street Address City Province Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required)Emergency ContactEmergency contact Name(Required) First Last Emergency Contact Phone(Required)Gender Identity(Required) Woman (People whose current gender is woman. This includes cisgender and transgender people who are women.) Man (People whose current gender is man. This includes cisgender and transgender people who are men.) Non-Binary Gender (People whose current gender is not exclusively a woman or a man. This includes people who do not have one gender, have no gender, are gender-fluid, or are Two-Spirit.) Prefer not to answer Would you say you are(Required) Cisgender (People whose sex assigned at birth is the same as their gender.) Transgender (People whose sex assigned at birth is different from their gender.) Prefer not to answer Volunteer DisclosureAboriginal Status Yes No If yes, check all that apply: First Nations Metis Inuit Status Non-Status Citizenship StatusCanadian(Required) Yes No If NO, what is your status: Permanent Resident International Student Work Visa Live-in Caregiver Refugee Other After submitting this form, please make sure you visit the Government of British Columbia portal to confirm your eligibility and apply for the StrongerBC future skills grant funding online using your BC Services Card Account. Visit www.futureskillsgrant.gov.bc.caCOLLECTION AND USE OF PERSONAL INFORMATION(Required) By submitting this form, you are providing consent to have your personal information, including your Social Insurance Number, disclosed to, and used by, the Ministry.Your personal information is collected, used and disclosed by the institution you are attending under the B.C. Freedom of Information and Protection of Privacy Act (FOIPPA) sections 26(c), 26(e), 27(1)(b), 27(1)(c)(i), 32(a), 32(b) and 33(2)(d). It will be used by the institution to manage, administer and report on program enrolments and completions. It will be disclosed to the Ministry of Post-Secondary Education and Future Skills (the Ministry) and used for administration, evaluation, accountability, and reporting purposes, including to determine your eligibility for funding under StrongerBC future skills grant (FSG). By signing this form, you are providing your consent to have your personal information, including your Social Insurance Number, disclosed to, and used by, the Ministry. If you have any questions about the institution’s collection, use or disclosure of this information, you may contact: Privacy Officer; College of the Rockies; email: privacyofficer@cotr.bc.ca. If you have any questions about the Ministry’s collection and use of this information, you may contact the Director, Performance Reporting, Evaluation and User Support, 778-698-5555. CONFIRMATION OF NEXT STEPS(Required) I understand that after submitting this form, I will need to visit the Government of British Columbia portal to confirm eligibility and apply or the StrongerBC future skills grant funding online using my BC Services Card Account. Visit www.futureskillsgrant.gov.bc.ca