Apply to QmunityWORKS To apply to QmunityWORKS, complete and submit the form below. A team member will be in touch with you! Back to Overview QmunityWORKS - Application Form Your Name*Phone*Email* Age*I identify as being a member or ally of the LGBTQ2S+ community and face multiple barriers to employment.*YesNoI am Unemployed*YesNo“Unemployed means you are available for work but do not have work and includes those: who are on temporary layoff with an expectation of recall, have actively looked for work in the past four weeks or have a new job to start within four weeks.” If employed, I am working less than 30 hours a week, on average.*YesNoIf you are working, do not quit your job as this may affect your eligibility for the program.I am receiving Employment Insurance.*YesNoI am on Income Assistance*YesNoI am classified as a person with a disability*YesNoI am legally entitled to work in Canada.*YesNoI am currently living on Vancouver Island.*YesNoYou must provide two pieces of ID to verify; one piece must be Photo ID.What city do you live in?I am currently a full-time student or enrolled in high school.*YesNoI am currently participating in another government-funded program.*YesNoName of Program:How did you learn about QmunityWORKS?*I have access to a computer?*YesNoI have access to a webcam?*YesNoDate Submitted (DD/MM/YYYY)