English Language Learning Adult Learner Application English Language Learning: Adult Learner Application Adult Learner Application: "*" indicates required fields I am Male Female Other Prefer not to say Language Level Beginner Intermediate Advanced Other Name* First Last Address* Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Email* Mobile Phone*Home PhoneWork PhoneThe best way to contact me is by: Home Phone Mobile Phone Work Phone Email When can you come?Please tell us what time and locations work best for you based on the current ELL schedule:*Use the + symbol to add additional rows. The current ELL schedule can be found here., opens a new windowLibrary BranchDay of WeekTime of Day Add RemoveImmigration StatusWhat is your immigration status? Canadian Citizens born outside of Canada Individuals awaiting statutory checks (pending completion of medical, security and criminal verification) Foreign nationals and their dependents nominated under the NS Nominee Program but have not yet received permanent resident status NS Nominee Program who have received permanent resident status Protected persons as defined in section 95 of the Immigration Protection Act Permanent Residents who have refugee status Permanent Residents who are not NS nominees or refugees Individuals who have applied for permanent residency through the Nova Scotia Nominee Program or Immigration, Refugees and Citizenship Canada, have received an acknowledgment, and currently hold a work permit AIP PA High-Skilled (for primary applicant with NOC skill type 0, A, B) (AIPHS) AIP PA Intermediate-Skilled (for primary applicant with NOC skill type C) (AIPIS) AIP PA International Graduate (for primary applicant graduated in Atlantic Canada) (AIPIG) AIP Dependent (for family members) (AIPD) Canada-Ukraine Authorization for Emergency Travel (CUAET) Asylum seekers and refugee claimants Confidentiality agreement*During and after my time as a Halifax Public Libraries learner, I hereby agree to respect the privacy of everyone involved in the Halifax Public Libraries ELL for Adults program. I will keep all information about participants confidential and will not discuss this information with anyone except the program coordinator. I agree to the confidentiality agreement.CAPTCHANameThis field is for validation purposes and should be left unchanged.
