Participant Information Form

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All information provided through this form is securely handled and used exclusively for the purpose of helping you apply to various grant opportunities. We’re committed to protecting your data with the utmost discretion and integrity.

Primary Details

Name *

First

Last

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Date of Birth *

Marital Status *

Are you a Canadian citizen, Permanent Resident, or Protected Person (refugee) in Canada? *

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Please select your status in Canada *

Please specify your status *

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Immigrated to Canada? *

Date Arrived in Canada *

What is your gender identity? (select all that apply) *

Man
Woman
Non-binary
Two-spirit
Other
Prefer not to answer

Optional Details

Do you wish to self-identify as a member of a designated group(s)?

Newcomer
Visible Minority
Francophone
Person with Disability
Inuit
First Nations
Métis

Dependents

Do you identify as transgender?

Contact Details

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Email *

Phone *

Preferred Communication *

Email
Phone

Mailing Address *

Address Line 1

City

State / Province / Region

Postal Code

Education Details

Highest Level of Education *

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Institution of Highest Level of Education *

Program Description *

Country of Institution *

Status *

Full-Time
Part-Time

Start Date *

End Date *

What credentials do you have that are not recognized in Ontario? (select all that apply)

Regulated trade certificate
College diploma
Regulated professional
University degree
High school diploma

Employment Details

Employment Status *

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Name of Employer *

Job Title *

Start Date *

Pay Period *

Brief Description of Job Duties *