This form is designed to collect information that will help the SAW Language Stream program coordinators understand who is enrolled in the program. We will use the information that you provide on this form to understand what types of assistance might be of most benefit for you, and to highlight specific skills and areas of potential interest for you.

Please answer all questions. If you don’t understand a question or are not sure what to write, please let your coordinator know and he or she will be happy to help you.

Contact Information

Employer

First Name

Last Name

Date of Birth

Street Number

Apt/Unit Number

Street Name

PO Box

City

Province

Postal Code

Phone

How do you prefer to be contacted by the Program?

Phone

Text

Other (please specify)

If you prefer to be contacted by phone, for reasons of confidentiality, can we can leave a message at the number you have provided?

Yes

Education Experience

We are interested in understanding your education experience. Please fill out the following table with your highest level educational experience.

I don’t have an education experience to list

School/Institution Type	Program Name or Area of Study	Diploma/Certificate (or highest grade)	Country
School/Institution Type	Program Name or Area of Study	Diploma/Certificate (or highest grade) Finished Did not finish Type of diploma/certificate or highest grade:	Country

Current Employment and Future Goals

We are interested in understanding your current employment situation and any future employment goals.

What other jobs or occupations would you be interested in?

What areas of training are you most interested in taking at this stage?

If accepted into the SAW Program:

I attest that I am currently eligible to work in Canada.

If I leave this program, I will be asked to provide the reason why and I understand this is for information purposes only and I will not be judged by my response.

Notice of Collection and Consent - Skills Development Fund Sole

Your organization delivers Skills Development Fund 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 ulnformation 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 Skills Development Fund. 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 Skills Development Fund. Administration includes:

Assessing the performance of your organization, its effectiveness, efficiency and customer service results; monitoring, inspecting, investigating, auditing and enforcing your organizations compliance with its agreement with the ministry.
Planning, evaluating and monitoring Skills Development Fund - this includes conducting surveys, and conducting policy and statistical analysis and research related to all aspects of Skills Development Fund. You may be contacted to request your voluntary participation in surveys.
Promoting Skills Development Fund - you may be contacted to request your voluntary participation in public relations campaigns related to Skills Development Fund.

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 within employment support programs under the Ontario Works Act, 1997, and the Ontario Disability Support Program Act, 1997.

Skills Development Fund 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.

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 Skills Development Fund, 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.

PERMISSION TO SHARE INFORMATION: INFORMED CONSENT

Privacy laws prevent us from sharing personal contact information with other participants unless a formal consent is signed. The purpose of sharing this information is to demonstrate the diverse and representative group of stakeholders consulted, and to enable participants to contact each other at will. If you agree to share the above listed contact information, please check off the consent box and sign. (Note: you are not obligated to provide consent. Individuals that chose not to provide consent will not be listed on distribution lists and contact information will not be supplied to individuals other than project staff.)

I agree to share my contact information with other project participants

I prefer to have my contact information limited to project staff

I verify that I am the correct applicant as stated in all official registrations. I understand that FPSC reserves the right to revoke any certificates, passing marks, or completely remove an individual from the program if found cheating, copying material, or making false statements of identity.

Date: April 23, 2024

Application Form

Contact Information

Describing Yourself

Participant Information

Education Experience

Current Employment and Future Goals