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Job Search For New Canadians Application Form
Last Name
First Name
Date of Birth
Male/Female
Male
Female
Address
Postal code
Phone number
E-mail
Are you a landed immigrant?
Yes
No
At present you are on
Social Assistance
Employmnt Insurance
Part-time work
Other
Where are you from?
How long have you been
in Canada?
What was your occupation
in your home country?
Have you worked in Canada?
Yes
No
Who were you referred by?
What did you do here?
What type of work are you looking for?
How long have you been unemployed?
Are you willing to travel to other cities for work?
Yes
No
(e.g. Kitchener, Cambridge)
What level of education
do you have?
High school
College/University
Community college
Vocational school
Grade 8-9
PhD
Other
Have you taken any other Job Search Programs?
Yes
No
Name of University or School attended
Can you commit to attending this full-time program for 5 weeks?
Yes
No
Has your English proficiency been tested
by Multicultural Centre?
Yes
No
Reading:
-
4
5
6
7
8
(CLBA Level)
Listening/Speaking:
-
4
5
6
7
8
(CLBA Level)
Writing:
-
4
5
6
7
8
(CLBA Level)
Date you want to start:
