*1.Are you interested in pursuing work in IT, Customer Service or Hospitality field?(Required.)

Yes

No

*2.How did you hear about this program?(Required.)

ACCES Consultant

Social Media

Friend/Family Member

Other (please specify)

*3.What is your first name?(Required.)

*4.What is your last name?(Required.)

5.At what email address would you like to be contacted?

*6.What is your phone number?(Required.)

*7.Where are you located geographically?(Required.)

*8.Are you between the ages of 18-29?(Required.)

Yes

No

*9.In what year were you born? (enter 4-digit birth year; for example, 1976)(Required.)

*10.What is your status in Canada?(Required.)

I am a Canadian Citizen.

I have a permanent resident (PR) status.

I am refugee claimant/asylum seeker/CUAET holder.

I am a Protected Person.

Other (please specify)

*11.Do you have government issued photo identification?(Required.)

Yes

No

*12.Can you commit to full time training for 2 weeks? (25 hours a week) (January 26 - February 6)(Required.)

Yes

No

*13.Are you able to commute to our Brampton location ( 44 Peel Centre Dr Unit 201, Brampton, ON L6T 4B5) for potential in-person sessions (2-3 times during the training period)?(Required.)

Yes

No

*14.Do you have the technology to join the virtual classroom over Zoom?(Required.)

Yes

No

*15.Please confirm that you are not currently working or in school.(Required.)

I confirm