Please fill this form and submit online to register as a new client with Regina Immigrant Women Centre. Call us at 306-359-6514 for any questions. Name* First Last Phone*Email* Immigration Status (Select One)*Permanent ResidentWork PermitCanadian CitizenStudent VisaVisitor VisaRefugee ClaimantOtherSelect Programs that you want to inquire about English Classes Employment Support Youth Employment Programs Family Support Seniors Program General settlement advising Other Please explain belowAny other information that can help us understand your settlement needsBy submitting this form, I give consent to Regina Immigrant Women Centre and its intake staff to communicate with me through phone and/or email. This iframe contains the logic required to handle AJAX powered Gravity Forms.
