ITA - IT Accelerator Program Application

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* 1. Are you interested in joining the IT Accelerator Program?

Yes

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* 2. How did you hear about the program?

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* 3. First Name

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* 4. Last Name

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* 5. Email Address

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* 6. Telephone Number

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* 7. Are you between the age of 15 - 30?

Yes

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* 8. When were you born?

Date of Birth

Date

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* 9. Do you have a Social Insurance Number (SIN)?

Yes

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* 10. Do you have an Open Work Permit?

Yes

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* 11. What is your status in Canada?

I am a Canadian Citizen

I have Permanent Resident (PR) status

I am a Refugee

I am a Protected Person

Other (please specify)

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* 12. Do you have government-issued photo ID?

Yes

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* 13. Can you commit to full time training (15-20hours/week)?

Yes

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* 14. Training and live sessions are set to take place virtually 5 days a week (Monday to Friday between 10am - 4pm). When are you generally free for these activities?

Mornings

Afternoons

All day

Neither of the above – please describe below

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* 15. Which devices do you have access to?

Computer

WIFI

Webcam

Smart phone

Tablet

Printer

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* 16. What is your highest level of education completed?

Some High School

High School

Some College or University

College Diploma

University Degree

Other (please specify)

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* 17. Are you currently registered in an educational or training program?

Yes (please specify)

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* 18. Have you had paid employment?

Yes

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* 19. Are you currently working?

Yes

If Yes (please specify Full-time or Part-time)

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* 20. Are you interested in finding work in the Tech Industry?

Yes

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* 21. What is currently getting in the way of you finding work in the Tech industry?

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* 22. What is your current housing situation?

I currently pay housing costs

I currently depend on others for financial support

Others depend on me for financial support

I am currently homeless, couch surfing or living in a shelter

Other (please specify)

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* 23. Do you identify with the following statements? Please select any that apply to you. These will be kept confidential and without judgement.

I have experienced racism

I identify as Indigenous

I identify as a newcomer to Canada

I identify with the LGBTQ2S+ community

I identify as a Black Canadian

I have a support system (family, friends, community supports)

I have experienced anxiety, depression, addiction or other mental health issues

I identify with having a disability (physical, mental, emotional, social, learning)

I identify as a visible minority

I don't identify with any of these statements

I identify as a female

I identify as male

Other (please specify)

ITA - IT Accelerator Program Application

Question Title

* 1. Are you interested in joining the IT Accelerator Program?

Question Title

* 2. How did you hear about the program?

Question Title

* 3. First Name

Question Title

* 4. Last Name

Question Title

* 5. Email Address

Question Title

* 6. Telephone Number

Question Title

* 7. Are you between the age of 15 - 30?

Question Title

* 8. When were you born?

Question Title

* 9. Do you have a Social Insurance Number (SIN)?

Question Title

* 10. Do you have an Open Work Permit?

Question Title

* 11. What is your status in Canada?

Question Title

* 12. Do you have government-issued photo ID?

Question Title

* 13. Can you commit to full time training (15-20hours/week)?

Question Title

* 14. Training and live sessions are set to take place virtually 5 days a week (Monday to Friday between 10am - 4pm). When are you generally free for these activities?

Question Title

* 15. Which devices do you have access to?

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* 16. What is your highest level of education completed?

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* 17. Are you currently registered in an educational or training program?

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* 18. Have you had paid employment?

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* 19. Are you currently working?

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* 20. Are you interested in finding work in the Tech Industry?

Question Title

* 21. What is currently getting in the way of you finding work in the Tech industry?

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* 22. What is your current housing situation?

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* 23. Do you identify with the following statements? Please select any that apply to you. These will be kept confidential and without judgement.

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* 24. Is there anything else you would like to share with us?