Home > Employee Sign Up Form Employee Sign Up Form Catchment area that the worker is based in:(Required) Slave Lake catchment area (Alberta) Golden catchment area (British Columbia) Arnprior (Ontario) Specific Community(Required) Forward Sortation Area(Required) (First 3 characters of postal code)Worker First Name(Required) Worker Last Name(Required) Email Address(Required) Phone Number(Required)Age Range(Required) 18-20 21-25 26-30 31-35 36-40 41-50 51-54 55-64 65+ Gender Identity(Required) Highest Education Level Completed(Required) Not completed high school High school/GED Trades/Apprenticeship Diploma/CÉGEP Bachelors Masters degree Professional degree (law, medicine etc) PhD Transmission of Indigenous knowledge (e.g. Traditional Ecological Knowledge, Healing practices etc) Status in Canada(Required) Citizen Permanent Resident / Holder of refugee status Temporary work permit Other Other Status Identities(Required) Person with disability First Nations, Inuit, Metis, Urban and Unaffiliated Newcomer (less than 5 years in Canada) Francophone Black Canadian Racialized individual 2SLGBTQIA+ Job/Career InterestsEmployment status prior to participation in the project:(Required) Employed Unemployed Underemployed Never employed Other Other Employment Status Job status prior to participation in the project:Job Title Industry Please identify any barriers you have experienced to gaining meaningful employment. Examples may include, but are not limited to topics related to transportation, childcare, education, work experience, incarceration, job market limitations, personal challenges around mental or physical health, etc.(Required)Wraparound supports needed:(Required) Transportation Childcare Counselling Housing Living allowances Access to technology Appropriate work clothing Mentorship or sponsorship Expenses related to specialized services (e.g. ASL interpretation services) Arrangements or equipment Other Other wraparound supports needed:
