Newcomer Advisory Committee Application
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First Name
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Last Name
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Email address
Phone number
Personal pronouns
Which pronouns do you use?
They / them
She / her
He / him
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How old are you?
18 - 25
26 - 35
36 - 55
56 - 65
Over 65
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Where do you live?
Trail
Castlegar
Nelson
Other
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What country were you born in?
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How long have you lived in Canada?
Less than 1 year
1 - 5 years
6 - 10 years
More than 10 years
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How long have you lived in the West Kootenays?
Less than 1 year
1 - 5 years
6 - 10 years
More than 10 years
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What is your current immigration status?
Permanent Resident
Temporary Foreign Worker
Canadian Citizen
Refugee
Other (please describe)
50%