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JOB CONNECT
AND/OR
SUMMER JOBS SERVICE
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* PLEASE FILL OUT ALL REQUIRED FIELDS
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Download Full Application (PDF FORMAT)
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Preferred language of service:
English French
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Please indicate which program you are applying for:
Job Connect Summer Jobs Services
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If you previously participated in the Job Connect Program state when.
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From: Day: Month: Year:
To: Day: Month: Year:
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If you previously participated in the Summer Jobs Service state when.
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From: Day: Month: Year:
To: Day: Month: Year:
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SECTION 1: PROFILE
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First Name (required)
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Last Name (required)
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Street Address (required)
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Unit/Apt
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City (required)
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Province (required)
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Postal Code (required)
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Date of Birth (DD/MM/YY) (required)
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Telephone (required)
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Alternative Telephone
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Best time to contact
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Email (required)
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SECTION 2: WORK HISTORY AND EDUCATION
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Are you legally entitled to work in Canada? (required)
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Do you have a Social Insurance Number (SIN)? (required)
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If you do not have SIN #, have you applied for one? (required)
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WORK HISTORY
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Have you had paid employment in Canada? (required)
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Have you had paid employment outside Canada? (required)
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List below all work you have done, including volunteer work. Start with the most recent job/volunteer activity.
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From: Day: Month: Year:
To: Day: Month: Year:
Company Name:
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Job Title/Duties
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Reason for leaving
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From: Day: Month: Year:
To: Day: Month: Year:
Company Name:
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Job Title/Duties
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Reason for leaving
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From: Day: Month: Year:
To: Day: Month: Year:
Company Name:
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Job Title/Duties
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Reason for leaving
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Education / Training History
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Country in which Highest Level of Education was attained? (required)
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If Other Please Specify
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Highest Level completed? (required)
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Have you participated in Ontario Youth Apprenticeship Program (OYAP)?
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Are you returning to school?
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SECTION 3
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Are you currently employed? (required)
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If Yes how many hours per week? (required)
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If No When did you last work?
Day: Month: Year:
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What type of work are you interested in doing? (list the top 3 job preferences)
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1.
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2.
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3.
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When are you able to start work?
Day: Month: Year:
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SECTION 4: SOURCE OF INCOME
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Current source(s) of income: (required)
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Ontario Works
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Ontario Disability Support Program (ODSP)
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Dependent of OW / ODSP
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Workplace Safety Insurance Board (WSIB)
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Employment Insurance (EI)
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No Income
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Other
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Identify any health issues or disabilities that would require job accommodation.
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Have you applied for Employment Insurance Benefits in the last 52 weeks?
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If Yes Where?
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The Ministry of Training, Colleges and Universities provides funding to your Job Connect agency to provide the Job Connect and/or Summer Jobs Service. Your Job Connect agency has contracted with the Ministry to provide reports about the service it has provided to you, your satisfaction with the service, and other aspects of your educational and training experiences that will enable the Ministry to administer, fund, evaluate and monitor the services and to plan and deliver job training programs and services. The reports will identify you by a computer generated number but the Ministry will not collect your name or address. Your Job Connect agency has also contracted with the Ministry to allow the Ministry to audit its delivery of the service and administration of the funding and the Ministry may need to have access to all personal information collected by your Job Connect agency, including your name and address, but only if an audit is conducted. By signing below, I give consent to the Ministry to indirectly collect and use personal information about me for these purposes.
The personal information collected and used by the Ministry is necessary for the purposes listed above, in accordance with s. 38(2) of the Freedom of Information and Protection of Privacy Act. R.S.O. 1990. c. F.31, as ammended. Questions about the collection and use of your personal information may be addressed to the Ministry of Training, Colleges and Universities, Employment Preparation Manager, 900 Bay Street, Toronto, Ontario, M7A 1L2, or by phone at (416) 326-5837.
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I AGREE
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