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* 1. In completing this application and submitting the information contained herein, I confirm that I am applying for funding for in-class training and on-the-job training. I understand that such funding is contingent upon my continued attendance in both. If my application is approved, I acknowledge that should I voluntary withdraw from, or be removed from, either the in-class or on-the-job training, I must notify ENGP@ubcja.ca immediately. I further understand that repayment of any funds deposited to me in advance may be required and I agree to repay such funds if and when notified.

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* 2. What is your full legal name:

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* 3. What is your preferred name should you have one?

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* 4. Please fill out your full mailing address and contact info

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* 5. Date of birth Month/Day/Year

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* 6. This form is designed to collect information for the Empowering the Next Generation Program. Your response is voluntary, and you may identify in more than one designated group.

The information you provide will be used to provide project data to the Government of Canada (GoC) for the purpose of monitoring the ENGP, assessing its contribution to the overall objectives of the funding program, and to inform future policy development.

All data collected is strictly confidential, and the information provided to the Government of Canada (GoC) will be anonymous and confidential.

Thank you for your cooperation.

Gender

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* 7. A person with a disability

Persons with disabilities are participants who self-identify as having a disability in one of the following categories: Seeing, Hearing, Mobility, Flexibility, Dexterity, Pain-related, Learning, Development, Mental health-related, and memory. The disability must result in a limitation in daily actives. The presence of a difficulty alone is not sufficient - individuals whose disability rarely presents them with some level of difficulty in their daily activities are excluded.

Are you a person with a disability?

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* 8. An Indigenous person.

Indigenous individuals are participants who self-identify as having Indigenous identity. This includes those who identify as First Nations (North American Indian), Metis and/or Inuk (Inuit), and/or those who report being registered or Treaty Indians (that is, registered under the Indian Act of Canada), and/or those who have membership in a First Nation or Indian band.

Are you an Indigenous person?

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* 9. A person in a visible minority.

Persons who self-identify as being a visible minority. The employment Equity Act defines visible minorities as "persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour"

Are you in a visible group?

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* 10. Newcomers

Newcomers are participant's who self-identify as having arrived in Canada within the last ten years and are legally entitled to work in Canada, including permanent residents, Canadian citizens or persons granted refugee status in Canada.

Are you a newcomer?

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* 11. LGBTQ2S+

Persons who self-identify as a member of the LGBTQ2S+ community. The acronym LGBTQ2S+ includes lesbian, gay, bisexual, or another minority sexual identity such as asexual or pansexual, as well as minority gender identity (trans and non-binary identities like genderqueer, gender fluid, pangender or agender).

Are you LGBTQ2S+?

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* 12. How did you hear about the Empowering the Next Generation Program?

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* 13. In order to properly assess your eligibility for the program please answer the following questions.

Are you currently working?

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* 14. In the past two years, have you held a job for more than six months?

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* 15. Have you ever participated in any job training, internship, or apprenticeship program?

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* 16. Have you ever received training in a skilled trade?

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* 17. What is the highest level of education you have completed?

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* 18. Barriers to Employment

Which of the following has made it difficult for you to find or keep a job? (Select all that apply)

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* 19. Interest in Skilled Trades

What interests you about learning a skilled trade?

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* 20. Do you have any experience working with tools, fixing things, or doing hands-on work?

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* 21. What support would help you the most to attend and complete this program? (Select all that apply)

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* 22. Will you be using your own personal vehicle for travel related to the program?

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* 23. What size shoe do you require?

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* 24. What size shirt do you require?

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