Book An Appointment

Service areas:

Nanaimo, Lantzville, Ladysmith, Nanoose, Qualicum Beach, Parksville, Gabriola Island, and Errington.

Port Alberni, Campbell River, Comox (Career Paths for Skilled Immigrants only).

New clients:

If you have not registered with us before:

  • Make sure you live in one of the areas mentioned above.
  • Scroll down to fill the online form.
  • Or download our registration form here: PDF, complete what you are able and email it back to us at register@cvims.org. Once we receive the form, a team member will contact you.

Existing Clients:

You can call or email your Settlement Worker or Employment Consultant or contact Main Reception at info@cvims.org or 250.753.6911.  Staff Directory HERE

General Registration Form2
Collection and Use of Information. All information collected on this form is subject to the provisions of the Freedom of Information and Protection of Privacy Act and will be used for administrative and evaluation purposes of CVIMS programs and services. Personal and service information provided directly to CVIMS may be disclosed to relevant funding governments and used for service quality assurance and monitoring, accountability, auditing, program evaluation and research purposes. By signing and submitting this form, you are consenting to the collection, storage, disclosure and use of your personal and service information for the purposes stated above. If you have any questions about the use of this information, contact the Executive Director, 101 – 319 Selby St, Nanaimo BC (250) 753-6911.

Do you consent to:

Immigration, Refugees and Citizenship Canada to contact you for research on the services provided by CVIMS?
Being contacted by CVIMS via text, email and other electronic communications?
Having your picture taken for display purposes and advertising?

Personal Information

Name (as shown on passport)
Name (as shown on passport)
First
Last
Gender
Marital status
Are you currently a Permanent Resident (PR)?
Preferred Official Language

General Registration - Children2

General Registration - Children

Please complete a separate form for each child. The option to add/remove  child is at the bottom of the form.

Parent's Legal Name
Parent's Legal Name
First
Last
The information provided in this form is true and up to date

Child's Information

Legal Name
Legal Name
First
Last
Gender
Preferred Official Language
Is the child a Permanent Resident (PR)?
Is this child currently enrolled in school (Kindergarten to Grade 12)?
Dear Parent(s) , Information we collect is to facilitate child and youth development through the SWIS program at CVIMS in partnership with Nanaimo Ladysmith Public Schools and community partners, to make referrals to other service providers and for the administration of programs and services. A signed RELEASE OF INFORMATION form is a condition of eligibility for support services. Once signed and dated, this form shall remain in effect until your child is no longer enrolled in SD 68/69. You have the right to revoke this permission at any time by providing CVIMS with a written notice of termination.
The release and/or exchange of any relevant or personal information* for the above child/youth: (please select all that apply)
*Personal information may include: name, address, phone number, email address or resume.
Permission for the above child/youth to participate in a variety of online or in person activities:
We photograph and video many CVIMS activities and love to share them with the CVIMS community in media that includes, but is not limited to, the CVIMS website, newsletters and communications including CVIMS social media channels.
By clicking this option, the guardian listed in this form is confirming their consent choices.
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We are committed to promoting the values of equity, diversity, inclusion and respect for all peoples.

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Your financial support is greatly appreciated.

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Book An Appointment

To book an appointment, call or email your Settlement Worker

With the respectful acknowledgement that the CVIMS community is located on the Traditional Territories of Snuneymuxw and Snaw-Naw-As First Nations.