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EMPLOYMENT SERVICE
CONTACT INFORMATION FORM
Please fill up the form and PCPI will contact you within 2 business days to discuss your requirements and/or acceptance into the program.
Thank you.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Phone Number
(Required.)
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4.
Email Address
(Required.)
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5.
Date of Birth
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
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15
16
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20
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22
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24
25
26
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31
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6.
City of Residence
(Required.)
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7.
Postal Code
(Required.)
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8.
What services are you looking for? (Select all that apply)
(Required.)
Employment Services - Job Search assistance
Better Jobs Ontario (formerly Second Career) application
Resource and Information Services
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9.
What is your status in Canada?
(Required.)
Canadian Citizen
Permanent Resident
Convention Refugee
Refugee Claimant
International Student
Post Graduate Work Permit
Other (please specify)
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10.
How did you hear about us?
(Required.)
TTC
PCPI Website
Job Fair
LinkedIn
Facebook
Twitter
Instagram
Family or Friend
Newspaper or flyers
Library
Community Organizations or other Non-profit organizations
Employment Ontario
Ontario Works
Other (please specify)
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11.
Preferred method of contact?
(Required.)
Phone
Email
Other (please specify)
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12.
Want to receive future emails from PCPI about our new programs, news, workshop schedules, job search postings, future events, inspiring stories, etc.? You can opt-out at any time.
(Required.)
Yes
No
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