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1. At what email address would you like to be contacted? (Required.)

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2. Please provide your full legal name: (Required.)

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3. Preferred Pronouns (Required.)

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4. Date of birth (Required.)

Date

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5. What is your street address? (Required.)

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6. Phone number  (Required.)

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7. Are you eligible to work in canada? (Required.)

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8. Are you currently looking for work? (Required.)

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9. What is your current status in Canada? (Required.)

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10. Are you registered with an Employment Ontario Centre? (Required.)

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11. How did you hear about us? (Required.)

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12. Country of origin (for statistical purposes only) (Required.)

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13. Emergency Contact  (Required.)

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14. Do you have a business idea? (Required.)

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