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Post Secondary Graduate Job Focus Application Form
Last Name:
First Name:
Address:
Postal code:
Phone number:
E-mail:
When did you graduate?
School:
Type of degree/certificate/diploma:
What type of work are
you looking for?
Briefly describe your
previous work
experience in this field?
Any comments?
The following information is required to determine your eligibility for the program.
1) Are you receiving
Social Assistance
Employmnt Insurance
Other Assistance
?
2) Date of Birth:
3) Are you between the
ages of 18-65 (Employ-
ment Standards Act)?
Yes
No
4) Male/Female:
Male
Female
5) Are you legally entitled
to work in Canada?
Yes
No
6) Have you attended
a Job Finding
Club/Program?
Yes
No
7) If Yes (see i. 6), Date
attended:
8) Name of Institution attended:
