Immigrant Advisory Group Member Application 2025

1.

First Name & Last Name

* required

Maximum 255 characters

0/255

2.

City

Maximum 255 characters

0/255

3.

Email address

Maximum 255 characters

0/255

4.

Phone number

Maximum 255 characters

0/255

5.

Gender

Select option

6.

Age Range

Select option

7.

Country of Birth

Maximum 255 characters

0/255

8.

Immigration Status

Canadian Citizen

Permanent Resident

Government Assisted Refugee

Privately Sponsored Refugee

Refugee Claimant/Asylum Seeker

Temporary Resident

Temporary Worker

International Student

Temporary Visitor

Other (please specify)

Responses will only be shared with the CK LIP selection committee to support efforts to gain a broad range of perspectives on the Immigrant Advisory Group.

9.

Highest Formal Education Level Completed

No formal education

High school diploma or equivalent

College Degree

University Degree

Other (please specify)

10.

What year did you immigrate to Canada?

Maximum 255 characters

0/255

11.

What year did you move to Chatham-Kent?

Maximum 255 characters

0/255

12.

What is your current job or role? (e.g. engineer, self-employed, student, stay-at-home parent, etc.)

Maximum 255 characters

0/255

13.

Please describe why you are interested in sitting on the CK LIP Immigrant Advisory Group.

14.

Please describe why you would be a great candidate for the CK LIP Immigrant Advisory Group.

15.

Is there anything else you would like us to know about you?