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English (Canada)
English (Canada) Français du Canada العربية 简体中文 ਪੰਜਾਬੀ Español de Colombia فارسی Українська Tiếng Việt Kiswahili አማርኛ اردو
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English (Canada)
English (Canada) Français du Canada العربية 简体中文 ਪੰਜਾਬੀ Español de Colombia فارسی Українська Tiếng Việt Kiswahili አማርኛ اردو

Your Personal Details

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Current Residential Address

Immigration Related Information

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Services

Details of Family Members

Would you like to register your family members so that they can also receive services with us?

Member 1

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Member 2

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Member 3

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Member 4

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Member 5

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Member 6

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Documents (For Yourself and All Added Family Members)

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Accepted file types: pdf, docx, doc, jpg, gif, tiff, Max. file size: 10 MB, Max. files: 5.

    Please upload documents that verify your current legal status in Canada for yourself and all family members. Upload both sides where applicable. Acceptable documents include (as applicable):

    • Permanent Resident (PR) Card – front and back

    • Confirmation of Permanent Residence (COPR)

    • Single Journey Travel Document

    • Notice of Decision

    • Refugee Protection Claimant Document (RPCD) or RPID

    • Study or Work Permit

    • Interim Federal Health (IFH) document

    • Passport or Birth Certificate (for Canadian citizens)

    Consents and Confidentiality Statement

    The Inter-Cultural Association of Greater Victoria (ICA) will collect and keep personal information about clients1 confidential unless there is a reason to be worried about someone’s safety. If there is a concern for safety (including harm to self or harm to others), the Code of Ethics of Canada requires breaking confidentiality. Also, by law, every member of Canadian society is required to report concerns about a child’s safety. 

    If needed, ICA staff will use client information in other ICA programs only with consent from the client.

    Other Consent(Required)
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    CANADA’s ANTI-SPAM LEGISLATION - UNDERSTANDING AND AGREEMENT TO EXPRESS CONSENT FORM

    Canada’s Anti-Spam Legislation (CASL) dictates that the Inter-Cultural Association of Greater Victoria (ICA) is prohibited from sending a Commercial Electronic Message (CEM) by any electronic means (i.e. email, SMS text, instant message, social media) without first obtaining the express consent of the recipient either verbally or in writing.

    ICA would like to confirm your interest in us communicating with you through sending you periodic e-mail and SMS text communications, including but not limited to, appointment reminders and changes, ICA Workshops of interest, electronic newsletters, appeals for donations, invitations to events, and other announcements.

    ICA will keep your information confidential and will not share your information with other organizations.

    By signing below, you have been made aware that you:

    • are giving your express consent so that ICA can communicate with you through any electronic means.
    • can contact ICA at any time to withdraw your express consent by contacting ICA’s Settlement Client Navigator at (250) 388-4728 ext. 120 or unsubscribing to communications that you receive.
    Email Consent(Required)
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    808 Douglas St., Suite 102, Victoria, British Columbia V8W 2B6 Canada

    (250) 388-4728 |

    reception@icavictoria.org

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