Ministry of Labour,
Training and Skills Development

Employment Ontario
Participant Registration

Participant Details

Last Name *

First Name *

Middle Initial

Preferred Name

Social Insurance Number *

I identify as: *

Date of Birth *

Date Arrived in Canada (if born outside Canada)

Place of Birth (Country)

Status in Canada *

Canadian Citizen

Permanent Resident

OtherOther

Preferred Language *

English

French

Immigrated to Canada? *

Yes

Not Applicable

Prefer not to disclose

Preferred Communication

Phone

Hard Copy

Marital Status *

Single

Married (or equivalent)

Undisclosed

Please complete if you wish to self-identify as a member of a designated group(s). Your response to this question is entirely voluntary and will not affect your eligibility. This information will be used by the Governments of Ontario and Canada for policy analysis and statistical purposes related to employment programs and services. (You may select more than one (1) option:)

Participant Address and Contact Information

Unit Number

Street Number *

Street Name *

PO Box

City/Town *

Province *

Postal Code *

Primary Phone Number

Home

Mobile

Other

Telephone Number

Alternate Phone Number

Home

Mobile

Other

Telephone Number

Email Address

Education

Institution of Highest Level of Education

Program Description

Start Date (dd/mm/yyyy)

End Date (dd/mm/yyyy)

Type

Full-Time

Part-Time

Country of Institution

Additional Education

Some Apprenticeship

Some College

Some University

Institution of Additional Education

Program Description

Start Date (dd/mm/yyyy)

End Date (dd/mm/yyyy)

Type

Full-Time

Part-Time

Country of Institution

Employment

List your work experience, including volunteer work. Start with the most recent job/volunteer activity.

Work Experience 1

Employment Type

Paid

Self Employed

Unpaid

Volunteer

Name of Employer

Job Title/Duties

Employment Start Date (dd/mm/yyyy)

Employment End Date (dd/mm/yyyy)

Country of Employment

Wage Amount ($)

Employment Hours Per Week

Reason for Leaving

Work Experience 2

Employment Type

Paid

Self Employed

Unpaid

Volunteer

Name of Employer

Job Title/Duties

Employment Start Date (dd/mm/yyyy)

Employment End Date (dd/mm/yyyy)

Country of Employment

Wage Amount ($)

Employment Hours Per Week

Reason for Leaving

Work Experience 3

Employment Type

Paid

Self Employed

Unpaid

Volunteer

Name of Employer

Job Title/Duties

Employment Start Date (dd/mm/yyyy)

Employment End Date (dd/mm/yyyy)

Country of Employment

Wage Amount ($)

Employment Hours Per Week

Reason for Leaving

Additional information

How did you hear about this program?

What are your short-term employment/career goals?

What are your long-term employment/career goals?

What types of work are you interested in doing?

Identify any necessary adjustments or accommodations at a job location. E.g. access and/or equipment needs that may be required due to a health issue or disability.

When are you available to start work? (For YJC: Summer Participants Only) (dd/mm/yyyy)

When are you planning to return to school? (For YJC: Summer Participants Only) (dd/mm/yyyy)

Have you applied for Employment Insurance Benefits in the past 52 weeks?

Yes

Unsure

If “Yes”, where?

Notice of Collection and Consent

Your organization delivers Youth Job Connection and Youth Job Connection: Summer under an agreement with the Ministry of Labour, Training and Skills Development (Ministry) and is required to make its records available to the Ministry for inspection,investigation or audit. Your organization is also required to report to the Ministry on:
• the service it tailors and provides you;
• your employment progress and outcome; and
• your satisfaction with the services you receive.

The Ministry will also collect relevant personal information about you from the Government of Canada (Canada) if necessary. The purpose of this information is to determine your eligibility for Employment Insurance benefits, the nature and level of Employment Insurance benefits, and to monitor, assess and evaluate the effectiveness of Youth Job Connection and Youth Job Connection: Summer. Depending on the type of service or support you receive and any incentives available to your employer to hire you, your organization or the Ministry may also collect personal information about you from your employer.

The Ministry may use contractors and auditors to administer and finance Youth Job Connection and Youth Job Connection: Summer.

Administration includes:
• Assessing the performance of your organization – its effectiveness, efficiency and customer service results; monitoring, inspecting, investigating, auditing and enforcing your organization’s compliance with its agreement with the Ministry.
• Planning, evaluating and monitoring Youth Job Connection and Youth Job Connection: Summer – this includes conducting surveys, and conducting policy and statistical analysis and research related to all aspects of Youth Job Connection and Youth Job Connection: Summer. You may be contacted to request your voluntary participation in surveys.
• Promoting Youth Job Connection and Youth Job Connection: Summer – you may be contacted to request your voluntary participation in public relations campaigns related to Youth Job Connection and Youth Job Connection: Summer.

If you are a client of, or applying to, the Ontario Disability Support Program or Ontario Works, the Ministry will provide your personal information to the Ministry of Children, Community and Social Services (MCCSS) for the purposes of administering employment services and managing the participation of MCCSS clients in employment support programs under the Ontario Works Act, 1997, and the Ontario Disability Support Program Act, 1997.

Youth Job Connection and Youth Job Connection: Summer is funded by the Ministry, in part with funds provided by Canada under Part II of the Employment Insurance Act. When funds are provided by Canada, the Ministry is required to provide information to Canada to help monitor and assess the Employment Insurance Program, as required under s.3 of the Employment Insurance Act. Under the Labour Market Development Agreement between Canada and Ontario (LMDA) and the Workforce Development Agreement between Canada and Ontario (WDA), the Ministry is required to collect your social insurance number.

The Ministry collects your personal information pursuant to the LMDA and WDA, ss. 3 and 63 of the Employment Insurance Act, S.C. 1996, C.23 as amended, and s.76.29 of the Employment Insurance Regulations, SOR/96-332. The Ministry will collect personal information from clients who identify as Ontario Disability Support Program or Ontario Works recipients and disclose your personal information to MCCSS in accordance with the s.71 of the Ontario Works Act, 1997, and s.53 of the Ontario Disability Support Program Act, 1997.

For more information about the collection and use of your personal information to administer and finance Youth Job Connection and Youth Job Connection: Summer, you can contact the Manager, Employment Ontario Call Centre, in writing at the Ministry of Labour, Training and Skills Development, 33 Bloor Street East, 2nd Floor, Toronto, Ontario M7A 2S3 or by phone at 1-800-387-5656. For the hearing impaired, TTY is available at 1-866-533-6339.

Signatures

By signing below, I acknowledge that my Service Provider has explained its use and disclosure of my personal information for its purpose.

Participant's Signature

Clear

Parent's/Guardian's Name

Parent's/Guardian's Signature (if applicant is under 16)

Clear

By signing below, I give consent to the Ministry to indirectly collect, use and disclose my personal information for the purposes set out above.

Participant's Signature

Clear

Parent's/Guardian's Name

Parent's/Guardian's Signature (if applicant is under 16)

Clear

Are you currently employed? *

Yes

Are you currently in enrolled in school? *

Yes

Do you currently live in Ontario? *

Yes

Please select your Immigration Status

Questions or Comments:

Are you currently employed? *

Yes

Are you currently in enrolled in school? *

Yes

Do you currently live in Ontario? *

Yes

Please select your Immigration Status

Questions or Comments:

Do you currently live in Ontario? *

Yes

Are you between 13 and 18 years old? *

Yes

I am the parent of a child between the ages of 13 and 18

Please select your Immigration Status

Questions or Comments

Do you currently live in Ontario? *

Yes

Are you between 13 and 18 years old? *

Yes

I am the parent of a child between the ages of 13 and 18

Please select your Immigration Status

Questions or Comments

What kind of program would you like to attend?

Online

In-Person

Do you currently live in Ontario? *

Yes

Please select your Immigration Status

Thank you for your interest in JVS Toronto services. Since you are located outside Ontario, you are not eligible for this program. However, you are welcome to attend our free workshops and events. Review our Workshop and Events Calendar here.

Thank you for your interest in JVS Toronto services. Due to your Citizenship Status you are not eligible for this program. However, you are welcome to attend our free workshops and events. Review our Workshop and Events Calendar here.

Questions or Comments

Are you currently employed? *

Yes

Are you currently in enrolled in school? *

Yes

Where do you live? Where do you live?

Questions or Comments:

What is your status in Canada? What is your status in Canada?

Questions or Comments:

Citizenship Status:

Permanent Resident

Convention Refugee

CUAET holders

OtherOther

Do you currently live in Ontario?

Yes

Please select your Canadian status

Questions or Comments

Do you currently live in Ontario?

Yes

Please select your Immigration Status

Please select your Immigration Status Please select your Immigration Status

So you currently live in Ontario?

Yes

Please select your Immigration Status

Do you currently live in Onatrio?

Yes

Please select your Immigration Status

Do you currently live in Ontario?

Yes

Please select your Immigration Status

Questions or Comments

Ministry of Labour,Training and Skills Development

Employment OntarioParticipant Registration

Participant Details

Participant Address and Contact Information

Education

Employment

Work Experience 1

Work Experience 2

Work Experience 3

Additional information

Notice of Collection and Consent

Signatures

Ministry of Labour,
Training and Skills Development

Employment Ontario
Participant Registration