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Last Name
*
First Name
*
Age
*
Year of Birth
*
City
*
E-mail
Where do you live (Major Intersection)
*
Home Telephone Number
*
Alternate Telephone Number
Are you currently working?
*
Yes
No
If yes, how many hours?
Are you seeking Full-Time work?
*
Yes
No
(Able to attend CTC and Employer Interviews between 9am and 3 pm daily)
Are you out of Full-Time school?
*
Yes
No
(Able to attend CTC and Employer Interviews between 9am and 3 pm daily)
Where/how did you hear of CTC?
*
Do you consider yourself:
Visible Minority?
Yes
No
Aboriginal?
Yes
No
Person with a Disability?
Yes
No
What type of jobs are you seeking?
*
First choice
*
Second choice
*
Third choice
*
Are you a Career Foundation client?
*
Yes
No
Program
*
Optional Comments
Enter the code from the image
*