Register for SkillingUp

Name *

First

Last

Email Address *

Phone Number *

Preferred Method of Contact*

Phone

Street Address

City *

Province*

Preferred Pronouns

He/him

She/her

They/them/theirs

Other

Date of Birth

For example: 1990 03 15

Year:

Month:

Day:

If you're working with an Employment Service agency, please tell us the agency and worker's name.

Agency Name

Worker Name

What devices are you currently using? *

Which program offering would you like to register for? *

Accessible Technology: Learn how to set up and use assistive and accessible technology on your devices. Personalized one-on-one sessions are available.

Digital Fundamentals: Learn the basics of your devices including how to use existing and new digital applications. We provide resources, and support on a range of topics such as online safety, privacy, using the internet, etc. for you to become a confident digital citizen.

Digital Skills and Job Readiness: Enhance your digital skills through independent, self-paced training on a range of topics such as AI, digital literacy, entrepreneurship, and more! Job search support and mentorship assistance available upon the completion of a certification or pathway.

Accessible Technology

Digital Fundamentals

Digital Skills and Job Readiness

What are your learning goals? *

Enlarge text or display settings (i.e., change colour, contrast, and brightness)

Use captions on video calls or live transcription as I cannot hear my device

Have the written text on my device read to me or use my voice to write

Use Assistant menus or virtual assistants (i.e., Siri, Google, Alexa)

Enlarge certain items on my device screen

Other

Other:*

Select the learning pathway that you want to start with: *

For more information, please visit the Digital Skills and Job Readiness page.

Potential Risks
Participation in March of Dimes Canada programs requires consent to the terms below. Please review carefully.
Virtual Program Disclaimer - SkillingUp is an online program and may involve occasional technical issues. Staff and volunteers will support you as needed.
Online Etiquette - Participants may use the chat function to communicate. Comments are saved and visible to instructors. Disrespectful language—including obscenities, insults, or slurs—will result in removal from the program.
Privacy Reminder - Do not share personal details such as your email, phone number, home address, or health information.
Third-Party Resources - While resource sharing is encouraged, March of Dimes Canada is not responsible for external content or privacy practices.

Participant Waiver and Release*
By agreeing below, I acknowledge:

I am participating in the program with knowledge of the risks explained above.
I accept the risks explained above.
Participation in the program is voluntary.
I can withdraw from the program at any time.
March of Dimes Canada is not responsible for any injury, illness, disability, death, or property damage that happens when I participate in the program.
I or my heir or executors will not sue or claim compensation from March of Dimes Canada for any injury, illness, disability, death or property damage that happens when I participate in the program.

I acknowledge that I have read, understood and agree with the above statements.

Authorization to Obtain/Release Information - Declaration
By completing this form, I hereby authorize March of Dimes Canada to obtain and/or release personal information to be used only as needed to complete program demographics and analytics, and for my successful completion of the program.

I consent for March of Dimes Canada to obtain and/or release the following information from/to service providers and/or family:

Program information including progress and employment goals and outcomes
Employment and skills profile for the purpose of facilitating mentorship matches

I consent for March of Dimes Canada to release the following information from/to funders:

Anonymous demographic information for the purpose of program analytics

Acknowledgement*

I acknowledge that March of Dimes Canada will not share any personal information containing my name, address, and contact information with a third party.

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