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SET Program Application Form
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SET Program Application Form
SET Program Application Form
Link Three Media
2021-05-12T17:27:16+00:00
Please enable JavaScript in your browser to complete this form.
CONTACT INFORMATION
Last Name:
*
First Name:
*
Date:
*
Street Address:
*
Apartment/Unit #:
City:
*
Province:
*
Postal Code:
*
Primary Phone:
*
Alternate Phone:
Email Address:
*
Date of Birth:
*
EMERGENCY CONTACT INFORMATION
Name:
*
Phone:
*
Relationship:
*
GENERAL INFORMATION
Are you legally entitled to work in Canada?
*
Yes
No
Status
*
Canadian Citizen
Permanent Resident
FNMI
Refugee
Do you currently possess a driver’s license?
*
Yes
No
If yes, what class license?
Have you recently or are you presently working with any of the following?
*
Learning Centre for Georgina
Salvation Army Youth Shelter
York Works
Job Skills
Ontario Works
Employment Insurance
Ontario Disability Support Program
Other (fill out below)
Other:
Have you previously accessed support or programming at The Training Centre – GTTI?
*
Yes
No
If yes, please describe:
EDUCATION
What is your highest level of education completed?
*
High School Name:
From:
To:
Did you graduate?
Yes
No
College/University Name:
Major/Degree:
From:
To:
Did you graduate?
Yes
No
Other:
Major/Focus:
From:
To:
Did you graduate?
Yes
No
Do you currently posses any industry certifications or other training (i.e. First Aid, WHMIS, etc.)? Please Describe.
*
EMPLOYMENT HISTORY
RESUME ATTACHED
Company:
Phone:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
Job Title:
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Please describe any volunteer experience:
APTITUDE ASSESSMENT
Rate yourself on the following based on the scale provided
Computer Skills (i.e. Microsoft Office, Internet use, etc.)
*
Very Strong
Strong
Average
Weak
Very Weak
Communication Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Customer Service Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Reading Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Writing Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Numeracy Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Teamwork Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Problem Solving Skills
*
Very Strong
Strong
Average
Weak
Very Weak
Reliability
*
Very Strong
Strong
Average
Weak
Very Weak
Accounting Software
*
Very Strong
Strong
Average
Weak
Very Weak
Accounts Receivable/Payables
*
Very Strong
Strong
Average
Weak
Very Weak
Data Entry
*
Very Strong
Strong
Average
Weak
Very Weak
Payroll
*
Very Strong
Strong
Average
Weak
Very Weak
Organization Skills
*
Very Strong
Strong
Average
Weak
Very Weak
What industries/sectors are of interest to you in your job search?
*
Personal Goals
What are your top 3 personal goals? (employment, health, education, etc.)
1.
*
2.
*
3.
*
Other Information
In your own words, describe why you want to take the program, how will it improve your life and/or what goals it will help you work towards:
Other Information
*
BARRIER IDENTIFICATION
What do you feel are the things that are keeping from finding and/or keeping employment (check all that apply):
Please check the boxes that you feel are keeping you from finding and/or keeping employment
*
Education
Mental Health
Drug/Alcohol Use
Work Experience
Motivation
Lack of Support/Assistance
Transportation
Conflicts at Work
Computer Skills
Lack of Self-Confidence
Fear of Failing
Parenting
Reading Skills
Negatively Stereotyped
Issues with Authority
Housing Issues
Math Skills
Physical Health Issues
Anger Management
Criminal Record
Communication
In a Group Home/Shelter
Other (fill out below)
Other:
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to a position in this program, I understand that false or misleading information in my application or interview may result in my release from this program.
I acknowledge that this information is collected and administered in accordance with the Freedom of Information and Protection of Privacy Act.
Signature:
*
Date:
*
Submit
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