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The LEEP Intake Form 2023-2024
Please ensure that all the fields are filled in correctly before clicking the submit button.
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* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Permanent Resident Card Number or UCI Number on Your Landing Paper
*
Your answer
Date of Birth (Month/Day/Year)
*
Your answer
Phone number
*
Your answer
Alternative phone number
Your answer
Home Address with Postal Code
*
Your answer
How did you hear about LEEP?
*
Your answer
What is the entry-level job you would like to do right after LEEP?
*
Your answer
Which position(s) are you interested in?
*
Your answer
Date of arrival to Canada
*
MM
/
DD
/
YYYY
Country of origin
*
Your answer
Who sponsored you?
*
Family
Community/Church
The Government
Other:
Are you legally entitled to work in Canada?
*
Yes
No
Are you receiving Employment and Income Assistance?
*
Yes
No
Are you receiving Employment Insurance Benefits?
*
Yes
No
What is your employment status?
*
Unemployed
Underemployed (working less than 15 hours a week)
Other:
What is your level of education?
*
Elementary school
Secondary incomplete
Grade 12 completed
Post Secondary
Other:
Do you have your WELARC English language assessment test results? (If your answer is Yes, write your overall benchmark under the Other)
*
Yes
No
Other:
List all your previous workplaces (back home and Canada) including company name, position, and dates of employment
Your answer
Do you have a resume (CV)?
*
Yes
No
Do you give consent for further research/follow up?
*
Yes
No
Official Language of Preference:
*
English
French
Send me a copy of my responses.
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