Begin Your Journey Please fill out the eligibility form below to apply to the Business Works Central Alberta Program! Keep an eye on your email and phone; our Program Coordinator will be in touch with you shortly! Eligibility Form In order to determine your eligibility for Business Works Central Alberta (BWCA), please answer the following questions (you may be asked to provide supporting documentation). Contact InformationName* 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 RequirementsAre you 18 years of age or older?*YesNoDate of Birth* Are you legally entitled to work in Canada?*YesNoEmployment StatusAre you currently in receipt of EI (Employment Insurance)?*YesNoHave you received EI in the past 60 months (5 years)?*YesNoHave you paid EI premiums in the past 10 years (EI taken off your cheques)?*YesNoYou must have earned more than $2.000/year for 5 of the past 10 years.Are you non-EI eligible?*YesNoThe 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?*YesNoIf employed, how many hours per week do you work?Please enter a number from 0 to 80.On average for the last 12 weeksOtherAre you currently attending school?*YesNoEducation*High SchoolBachelor's DegreeChoose 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 AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon 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! This iframe contains the logic required to handle Ajax powered Gravity Forms.