In order to apply for this program, you must be:

• Between the ages of 15 and 30
• Under-employed or not employed
• Eligible to work in Canada
• Looking for assistance in finding work

Instructions for Completing the Application

1. Please answer all questions.
2. If you need assistance completing the online form or answering the questions, Contact us directly by email or phone.
3. When you finish the online application, attaching a resume and any letters of reference is optional.
4. If  *required* information not available to you, answer with n/a (not applicable).
5. You WILL receive an email confirming your application.

Youth Keep Working Application

Youth Keep Working Application

Personal Information

Name *

First

Last *

Last

Email *

Phone *

Message Number

(if no phone)

Address *

City *

Postal Code *

Social Insurance Number *

(your information is secure)

Date of Birth *

Age

Gender Female Male Genderqueer/Non-Binary Other Gender

Driver's License (Active) * No License L N 5 4 3 2 1

Education Information

Are You Currently Attending School? * Yes No

If "Yes", where? *

Your Highest Level of Education High School Diploma GED Technical School College University Grade (If no diploma) Your Highest Level of Education

Main Areas of Study

Certificates | Diplomas | Degrees

Employment Section

1. Last Employer

Position

Start Date

End Date

2. Last Employer

Position

Start Date

End Date

3. Last Employer

Position

Start Date

End Date

Questions About the Program

How did you hear about the YKW Program? * Instagram Facebook Web Search Word of Mouth Parents School Community Organization Buisiness Brochure/Poster Newspaper Other How did you hear about the YKW Program?

What are 3 things you hope to gain from the YKW program? *

Why do you think you would be a good candidate for the program? *

What strengths have other people noticed in you? *

What challenges to finding and/or keeping employment are you experiencing? *

How long have you been actively looking for work? * Under 1 Month 1 to 3 Months 3 to 6 Months More Than 6 Months

Your Participation

Do you have any special needs that YKW staff should know about? *

(Medical conditions, allergies, physical restrictions, mental illness...)

Are there any other challenges regarding your participation in the YKW program that we should be aware of? *

(Child care issues, education plans, upcoming vacations, car payments, court dates, probation restrictions, other responsibilities...)

Permission Regarding Personal Information

I give permission for YKW to contact persons listed on this form to obtain confirmation of information relevant to my participation in this program. I also give YKW permission to disclose required information to Service Canada and to my Case Manager regarding my participation and progress in this project.

Type Your Full Name *

Date

Please upload a copy of your resumé and other supporting documents here (optional).

Drop a file here or click to upload Choose File

Maximum upload size: 8.39MB

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All personal information submitted on this application is kept confidential and is obtained for the purposes of background documentation, payroll, and program statistics. Any questions about the collection of this information can be directed to: