Economic Immigration Lab Application Form

Name *

Name

First Name

Last Name

Organization *

Your role *

Email Address *

Phone *

Phone

Country

(###)

###

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Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your hope for participating in the lab process? What is your definition of success? *

What specific issue(s) would you like to work on during this lab process? *

(Rural immigration, Francophone immigration, Support for Employers, Supporting Newcomers, High Skilled Labour attraction, Low Skilled Labour Attraction, International Students, Community Acceptance of Newcomers, other, etc.) Please specify what your particular areas of interest are.

Why is this issue important for you to work on? *

Is your employer supportive of this work? How would they support you? *

How much of your paid work is (or can be) spent working on this challenge (in days/wk)? *

Workshop Location *

Travel will be required, the workshop locations will be determined based on the location of participants. Will travel to workshops be a barrier for you?

I give express permission to the Pond-Deshpande Centre at the University of New Brunswick and NBSPRN to add me to their contact lists/contact me for future programs, opportunities and events. *

Please choose one of the options below:

Yes

No