By Abdulrahman Mhd AnasCentral Intake and Referral Forms Delta Family has consistently delivered a range of targeted services to isolated and marginalized communities in Northwest Toronto. With seven…
At Delta Family Resource Centre, we believe in the power, potential, and promise of Black youth. Our Youth Programs offer a dynamic, culturally affirming space…
Delta Family’s Seniors’ Services offer a range of support to promote the health and well-being of older adults. Our programs include counselling, Seniors Circle, Women’s…
Newcomer Settlement Program At Delta Family Resource Centre, our Settlement Programs are designed to support newcomers and immigrants as they transition into life in Canada…
Delta Family’s Employment & Entrepreneurship Services provide valuable resources for skill development and career advancement. Programs like the Sewing Hub, MIM Adult Employment Training, and…
Delta Family’s Grassroots and Non-Profit Support Services empower local organizations and initiatives through trusteeship and capacity-building programs. We also lead the Local Immigration Partnership, offering…
Delta Family’s Mental Health and Wellness Services offer comprehensive support, including settlement and mental health programs for non-sponsored refugee claimants. We provide specialized services such…
Delta Family’s Community Engagement and Support Services foster connection and empowerment through programs like Seniors Circle, Community Kitchen, and the Food Access Program. We also…
Delta Family’s Black Focused Program provides targeted support through initiatives like Trusteeship & Capacity Building, AWA, and Settlement Employment Services for non-sponsored refugee claimants. It…
Delta Family Resource Centre’s Children and Family programs are rooted in cultural identity, community connection, and intergenerational support. We offer inclusive, welcoming spaces where families…
Newcomer – Settlement Program Intake Form Newcomer - Settlement Program Intake FormPersonal InformationThis intake form is to get to know you and your needs better. The information on this form will help us understand your needs and how we better support you. We thank you for reaching out to Delta Family Resource Center.First NameLast Name(Chosen) Name:Date of BirthGender:- Select -MaleFemalePrefer Not to AnswerStatus in Canada:- Select -Permanent ResidentConvention RefugeeProtected PersonCanadian CitizenInternational StudentTemporary Foreign WorkerUndocumented (or No Legal Status)Prefer Not To DiscloseOtherYou are a Permanent Resident since?You are a Convention Refugee since?Do you identify with any of the following communities? racialized person – indigenous – LGBTQIA+ - Person with Disability – Faith Based Community - ?? Yes NoAccess Needs? – mobility, communication, sensory? Yes NoContact DetailsPhone Number:EmailAddressStreet:CityProvince:Postal Code:Is it safe to contact you at this number/e-mail? Yes NoPreferred method of contact?- Select -PhoneEmailTextImmigration DetailsCountry of Origin:Select CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweDate of Arrival in Canada:Port of Entry:Language(s) Spoken:English/French Proficiency:- Select -NoneBasicIntermediateAdvancedInterpreter Required? Yes NoLiteracy Level?Household InformationMarital Status:- Select -SingleMarriedWidowedSeparatedCommon LawPrefer Not to SayLGBTQIA+Family Structure?Number of Dependents:Names and Ages of Dependents (if applicable):Who lives with you currently? (name and/or relationships)Employment & EducationHighest Education Level Completed:Work Experience (Country): Yes NoWork Experience (Canada): Yes NoCurrently Employed? Yes NoType of WorkDo you face any challenges finding work? (ie; discrimination, credential issues, language, childcare?) Yes NoWhat is your preferred career field or type of work in Canada?Services Needed(Check all that apply) English Language Classes (LINC/ESL) Employment Services (Resume, Interview, Job Search) Credential Recognition Housing Assistance Youth Services Seniors Services Health or Mental Health Services Legal Aid or Immigration Help Childcare Gender-Based Violence Support Anti-Racism Support Parenting Support LGBTQIA+ Services Financial Literacy Digital Literacy or Access to TechnologyIs there any specific support you’re hoping for that’s not listed above? Note: (maybe a question or box regarding level of priority for checked boxes)Referral SourceHow did you hear about us?- Select -Friend/FamilyCommunity OrgWebsiteIRCCshelter or transitional housingPlace of worshipSocial Media (platform?)OtherWhat made you reach out for support today?Consent & Declaration I consent to share my information with this organization to receive settlement services. I understand my information will remain confidential and will be used for program improvement and reporting to funders like IRCC.Language of consent discussionSubmit
By Abdulrahman Mhd AnasCentral Intake and Referral Forms Delta Family has consistently delivered a range of targeted services to isolated and marginalized communities in Northwest Toronto. With seven…
At Delta Family Resource Centre, we believe in the power, potential, and promise of Black youth. Our Youth Programs offer a dynamic, culturally affirming space…
Delta Family’s Seniors’ Services offer a range of support to promote the health and well-being of older adults. Our programs include counselling, Seniors Circle, Women’s…
Newcomer Settlement Program At Delta Family Resource Centre, our Settlement Programs are designed to support newcomers and immigrants as they transition into life in Canada…
Delta Family’s Employment & Entrepreneurship Services provide valuable resources for skill development and career advancement. Programs like the Sewing Hub, MIM Adult Employment Training, and…
Delta Family’s Grassroots and Non-Profit Support Services empower local organizations and initiatives through trusteeship and capacity-building programs. We also lead the Local Immigration Partnership, offering…
Delta Family’s Mental Health and Wellness Services offer comprehensive support, including settlement and mental health programs for non-sponsored refugee claimants. We provide specialized services such…
Delta Family’s Community Engagement and Support Services foster connection and empowerment through programs like Seniors Circle, Community Kitchen, and the Food Access Program. We also…
Delta Family’s Black Focused Program provides targeted support through initiatives like Trusteeship & Capacity Building, AWA, and Settlement Employment Services for non-sponsored refugee claimants. It…
Delta Family Resource Centre’s Children and Family programs are rooted in cultural identity, community connection, and intergenerational support. We offer inclusive, welcoming spaces where families…
