Begin your Journey

Contact Information

Name*

First Last

Phone*

Email*

How would you like us to contact you?*

Phone
Text Message
Email

Check your preferred method(s) of contact. Note: Only choose the "Text Message" option if the phone number you provided above is an SMS-capable cell phone.

Work & Program Requirements

Are you 18 years of age or older?*

Yes
No

Date of Birth*

Are you legally entitled to work in Canada?*

Yes
No

Employment Status

Are you currently in receipt of EI (Employment Insurance)?*

Yes
No

Have you received EI in the past 60 months (5 years)?*

Yes
No

Have you paid EI premiums in the past 10 years (EI taken off your cheques)?*

Yes
No

You must have earned more than $2.000/year for 5 of the past 10 years.

Are you non-EI eligible?*

Yes
No

The 3 questions above do not apply to you. NOTE: If you have worked and may have enough hours to qualify, you will need to apply.

Are you employed?*

Yes
No

If employed, how many hours per week do you work?

Please enter a number from 0 to 80.

On average for the last 12 weeks

Other

Are you currently attending school?*

Yes
No

Education*

High School
Bachelor's Degree

Choose the highest level of education attained.

Year you Obtained this Education*

Please enter a number from 1900 to 2050.

Where are you currently living?*

Street Address Address Line 2 City Province Postal Code

Red Deer, Lloydminster, Camrose and surrounding areas (You must provide two pieces of ID to verify; one piece must be Photo ID)

How did you hear about the Business Works Central Alberta Program?*

If you are working, do not quit your job as this may affect your eligibility for the program.

Let's make sure you're human!

Please fill out the eligibility form below to apply to the Business Works Central Alberta Program!

Eligibility Form

Contact Information

Work & Program Requirements

Employment Status

Other

If you are working, do not quit your job as this may affect your eligibility for the program.