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Primary Details
Name
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First
Last
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Date of Birth
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Marital Status
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Single
Married (or equivalent)
Undisclosed
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Status in Canada
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Canadian Citizen
Permanent Resident
Protected Person
Immigrated to Canada?
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No
Yes
Not Applicable
Prefer not to disclose
Date Arrived in Canada
*
What is your gender identity? (select all that apply)
*
Man
Woman
Non-binary
Two-spirit
Other
Prefer not to answer
Optional Details
Optional Details
Do you wish to self-identify as a member of a designated group(s)?
Newcomer
Visible Minority
Francophone
Person with Disability
Inuit
First Nations
Métis
Dependents
Do you identify as transgender?
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No
Yes
Questioning
Prefer not to answer
Contact Details
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Email
*
Phone
*
Preferred Communication
*
Email
Phone
Mailing Address
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Address Line 1
City
State / Province / Region
Postal Code
Education Details
Highest Level of Education
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Grade 0–8
Grade 9
Grade 10
Grade 11
Grade 12 (or equivalent)
OAC
Certificate of Apprenticeship
Journeyperson
Certificate/Diploma
Applied Degree
Associate Degree
Bachelor's Degree
Post Graduate
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Institution of Highest Level of Education
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Program Description
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Country of Institution
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Status
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Full-Time
Part-Time
Start Date
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End Date
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What credentials do you have that are not recognized in Ontario? (select all that apply)
Regulated trade certificate
College diploma
Regulated professional
University degree
High school diploma
Employment Details
Employment Status
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Employed Full-Time
Employed Part-Time
Unemployed
Under-Employed
Self-Employed
Full-Time Student
Part-Time Student
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Name of Employer
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Job Title
*
Start Date
*
Pay Period
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Hourly
Weekly
Bi-weekly
Monthly
Yearly
Brief Description of Job Duties
*
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