Workplace Education Registration Form
IMPORTANT: All information on this form is required to complete your request to register for a class and to provide your certificate of completion. The class instructor will follow up with you prior to the start date. Each class is 3.5 to 4 hours a week for a total of 40 hours over 10 - 11 weeks. Please do not resubmit this form. 

Please read the privacy statement below: 
THE COLLECTION, USE, & DISCLOSURE OF PERSONAL INFORMATION
The Nova Scotia Department of Labour, Skills and Immigration, Workplace Education Initiative (WEI) requires participants of its training programs to provide personal information such as: name, address, date of birth, and employment status. The organization hosting WEI training is required to collect and input your personal information into a secure online system; this information can then be accessed by select, authorized provincial government employees. The personal information collected will be used solely to evaluate the impact of WEI programs as part of our workforce development efforts. This includes identifying gaps in current offerings, improving program design and delivery, and measuring overall program effectiveness to better serve participants and meet community workforce needs. The host organization (also known as the “Contract Holder”) and provincial governments are bound by law to keep your information private and confidential and can only use your information for the purpose stated in this notification (i.e. for evaluating the outcomes, impact and effectiveness of the program). The Freedom of Information and Protection of Privacy Act (FOIPOP), SNS 1993 c 5 restricts how the provincial government may collect, use and disclose personal information and places similar obligations the host organization. The purpose of these laws is to protect the privacy of individuals with respect to personal information held by a government institution and provide individuals with a right to access that information. We do not disclose your personal information to other organizations or individuals except as required to fulfill the purpose(s) of the program and only to the extent required or authorized by law. We also require that host organizations comply with our privacy requirements and must meet the applicable security, privacy and terms of use provisions. If you have any questions about the obligations of the host organization and/or the provincial government to keep your personal information private and secure, please contact workplace.education@novascotia.ca or ask the host organization for the contact information for the Workplace Education Coordinator overseeing the WEI training program.
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Which course(s) are you registering for? *
Required
Personal Information
Last name: *
First name: *
Middle initial:
Gender: *
Birth date: *
MM
/
DD
/
YYYY
Primary Phone number: (without dashes or brackets) *
Email address: *
Street address: *
City: *
Province: *
Postal/Zip code: *
Additional Information
Designated Group - Aboriginal Identity *
Designated Group - Immigrant *
Immigration Year:
Designated Group - Persons with Disabilities *
Designated Group - African Nova Scotian *
Designated Group - Francophone / Acadian *
Designated Group - Youth *
Designated Group - Visible Minority *
Immediate Outcome: Employment Status (Choose One) *
Pre-Intervention - Education Level (Choose One) *
NAICS Code Lookup: INSTRUCTIONS
Cut and Paste the following web address into your browser: https://siccode.com/naics-code-lookup-directory
Enter the main product or service for your employer's business to find the North American Industry Classification (NAIC). Enter the number returned below.
Employer's Business Sector (NAIC)  SEE LINK ABOVE *
Employer's or Business Name *
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