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Application Form

    "*" indicates required fields

    Name*
    Address*
    Are you a Canadian citizen, and do you have a legal right to work in Canada?*
    Are you eligible for Community Living disAbility Services?*
    (a provincial government program assisting adults with intellectual disabilities)
    Can you use email, spell check, Microsoft Word and Excel, etc.?*
    Do you have access to the Internet?*
    Do you have any serious mental health concerns that could interfere with your success with Level IT Up or employment?*
    Have you been convicted of a felony?

    Tell us about your education:

    Did you attend High School?*
    If yes, where did you attend High School?
    Did you graduate?

    Did you attend College or University?*
    If yes, where did you attend College/University?
    Did you graduate?

    Did you attend Graduate School?*
    If yes, where did you attend Graduate School?
    Did you graduate?

    Did you attend any other form of school?*
    If yes, where did you attend?
    Did you graduate?

    Tell us about your employment history:

    Do you have previous work experience?*
    Employed From/To:

    Employed From/To:

    Employed From/To:

    About You

    Do you have any behaviour that could interfere with social situations?*
    Can you write/type?*
    If yes, please select your writing level:*
    (check one box)
    Do you use these writing skills on a daily basis?*
    Are you able to work independently on activities, including homework, with minimal supervision and stay on task for a set period of time?*
    Can you tolerate a group learning environment?*
    Are you able to sit through 3 hour training sessions (this includes breaks)?*
    Can you focus on a task that may not be of interest, and complete simple tasks without prompting?*
    Please use past experience from school or work. Be as honest and as open as possible about what types of supports you require.

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