2019-2020 Women's Economic Empowerment Programming Application

Application Form for all 2019-2020 Programs

Thank you for applying to a program with Women's Network PEI. All applications will be reviewed for eligibility and eligible applicants will be contacted for an interview.

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* 1. Personal Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your date of birth?

Date / Time

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* 3. What is your residency?

Canadian Citizen

Permanent Resident

Have lived on PEI the past 3 months

All of the above

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* 4. Do you currently have an Employment Assistance Services worker? (i.e CDS, CMHA, PEI CoD, PEI ANC, MCPEI, etc)

Yes

Not sure

If yes, who is the worker?

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* 5. Financial Information - Please select ALL that apply to you

Employment Insurance Regular Benefits (current or in the past 3 years)

Employment Insurance Maternity Benefits (current or in the past 5 years)

Employment Insurance Sick Benefits (current)

Income Support

No current income

Awaiting Employment Insurance Claim

Working less than 20 hours/wk

Taking training

Other (please specify)

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* 6. Education- Please select ALL that apply

High School Graduate (including GED)

College

Additional Training

Other

If you answered College or Additional Training, what course(s) did you attend?

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* 7. What kind of paid work have you done in the past 5 years?

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* 8. Do you have any volunteer experience?

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* 9. How do you spend your spare time?

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* 10. What do you want us to know about you?

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* 11. Why are you applying for programming at this time in your life?

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* 12. Please tell us one long term and one short term goal you have

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* 13. What motivates you (to make change in your life)?

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* 14. Is there a job or area of work that you are interested in exploring? If yes, please tell us why it appeals to you.

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* 15. If needed, are you willing to upgrade your education to achieve your career goals? (eg. GED, Adult Education courses such as English, Math, Sciences etc)

Yes

Not Sure

Comment

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* 16. The attendance expectation for our program is that participants commit to a 8:30am-4:30pm schedule from Monday-Friday for 12 weeks. A minimum attendance rate of 85% is needed to complete the program.
Are you able to commit full-time to (Monday-Friday) to programming?

Yes

Maybe

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* 17. What things may prevent you from fully participating in all program days & activities?

Access to regular and reliable travel arrangements

My health

Access to regular and reliable childcare

Nothing that I can think of at this time

Other (please comment below)

Comments

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* 18. Which program are you applying for?

Propelle (September 17 - December 7, 2018)

Trade HERizons (January to March 2019)

Either program

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* 19. What is the best way to reach you? (please select all that apply)

Phone call

Text message

Leave a voicemail

Other (please specify)

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* 20. How did you learn about the program?

Thank you for your application. We will be in touch with you shortly to book an interview

Thank you for applying to a program with Women's Network PEI. All applications will be reviewed for eligibility and eligible applicants will be contacted for an interview.

Question Title

* 1. Personal Information

Question Title

* 2. What is your date of birth?

Question Title

* 3. What is your residency?

Question Title

* 4. Do you currently have an Employment Assistance Services worker? (i.e CDS, CMHA, PEI CoD, PEI ANC, MCPEI, etc)

Question Title

* 5. Financial Information - Please select ALL that apply to you

Question Title

* 6. Education- Please select ALL that apply

Question Title

* 7. What kind of paid work have you done in the past 5 years?

Question Title

* 8. Do you have any volunteer experience?

Question Title

* 9. How do you spend your spare time?

Question Title

* 10. What do you want us to know about you?

Question Title

* 11. Why are you applying for programming at this time in your life?

Question Title

* 12. Please tell us one long term and one short term goal you have

Question Title

* 13. What motivates you (to make change in your life)?

Question Title

* 14. Is there a job or area of work that you are interested in exploring? If yes, please tell us why it appeals to you.

Question Title

* 15. If needed, are you willing to upgrade your education to achieve your career goals? (eg. GED, Adult Education courses such as English, Math, Sciences etc)

Question Title

* 16. The attendance expectation for our program is that participants commit to a 8:30am-4:30pm schedule from Monday-Friday for 12 weeks. A minimum attendance rate of 85% is needed to complete the program.Are you able to commit full-time to (Monday-Friday) to programming?

Question Title

* 17. What things may prevent you from fully participating in all program days & activities?

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* 18. Which program are you applying for?

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* 19. What is the best way to reach you? (please select all that apply)

Question Title

* 20. How did you learn about the program?

* 16. The attendance expectation for our program is that participants commit to a 8:30am-4:30pm schedule from Monday-Friday for 12 weeks. A minimum attendance rate of 85% is needed to complete the program.
Are you able to commit full-time to (Monday-Friday) to programming?