The LEEP Intake Form 2022-2023
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Email *
Untitled Question *
Name *
First and last name
Permanent Resident Card Number or UCI Number on Your Landing Paper *
Date of Birth (Month/Day/Year) *
Phone number *
Alternative phone number
Home Address with Postal Code *
How did you hear about LEEP? *
What is the entry-level job you would like to do right after LEEP? *
Which position(s) are you interested in? *
Date of arrival to Canada *
MM
/
DD
/
YYYY
Country of origin *
Who sponsored you? *
Are you legally entitled to work in Canada? *
Are you receiving Employment and Income Assistance? *
Are you receiving Employment Insurance Benefits? *
What is your employment status? *
What is your level of education? *
Do you have your WELARC English language assessment test results? (If your answer is Yes, write your overall benchmark under the Other) *
List all your previous workplaces (back home and Canada) including company name, position, and dates of employment
Do you have a resume (CV)? *
Do you give consent for further research/follow up? *
Official Language of Preference: *
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