Employer Information Form

Please note that ALL FIELDS on this application form
are required to be completed unless otherwise noted.

SECTION 1 - EMPLOYER INFORMATION

Business Name:     Federal Business Number:

(This is your 9 digit GST number)   

Phone Number:     Fax Number:     Contact Name:

Address:     City:

Postal Code:     Email Address:     Web Site Address:

Business Type: Private Sector | Public Sector | Not For Profit | Broader Public

Business Sector: Service | Manufacturing | Retail | Primary

OR

If none of the above, please specify:

Number of Employees: 1 - 10 | 11 - 50 | 51 - 500 | 500+
 
 
 

SECTION 2 - FOR EMPLOYERS WHO ARE SUBMITTING A JOB POSTING

Please complete this section only if you are also submitting a job opportunity. Otherwise click here to continue.
 

If submitting a job opportunity, please complete all fields in this section.

Job Title:

Rate of Pay:     Anticipated Start Date:     Closing Date:

Days of Work and Hours per Week:

Primary Responsibilities:

Skills and/or Experience Required:

Additional Requirements (Please answer all the following)
Valid Driver's Licence:     Yes | No     Access to Vehicle:     Yes | No     Work site on Public Bus Route:     Yes | No

Work Boots:     Yes | No     Uniform:     Yes | No     Security Clearance:     Yes | No

Additional Comments / Notes / Requirements Not Listed Above::

How to Apply: (Please check one or more of the methods below)

By Phone | By Fax | By Email | In Person

Please note that submitted job opportunities will be
posted to both our resource area and web site

 

SECTION 3 - REQUESTING INFORMATION ABOUT EMPLOYMENT TRAINING SUBSIDY

Are you interested in receiving information on employment training subsidy through Job Connect? Yes | No
 
 
 

Completion of Employer Information Form and Submission of Details

Please check that you have completed all fields accurately
before submitting this form.

Errors or omissions may cause delays in processing.

Print a copy of this form for your records before submitting.