CTI Employment Program Screening Form (2023)

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Programs OverviewHere is a quick overview of our Employment programs. For other CTI programs, please click the image to open our website in a new tab, and click on the program title of your choice to find more information.
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Nice to meet you! What's your name?* This field is required.Please provide your first and last name.
First Name
Last Name
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How did you find us?* This field is required.The library? ZipRecruiter? A Google search? Somewhere else? Share with us!
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Are you between the ages of 15-30 years old?* This field is required.If you are 30, we will need to ask for your date of birth to make sure you are still eligible for our program based on specific dates.
YESNO
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Are you a Canadian Citizen or Permanent Resident? * This field is required.You must not be in the process of applying for Permanent Residency, and must have Permanent Resident status.
YESNO
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What is the first digit of your Social Insurance Number?* This field is required.
Please Select
Please Select
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9
Other
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What is your current source of income, in other words, how are you supporting yourself at the moment?* This field is required.Examples: you have family supporting you, you are using your savings to support yourself, or that you are getting assistance from the government (please specify what kind).
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Are you currently receiving EI (employment insurance benefit)? If so, please note that the earnings you receive from this program will impact EI benefit.This is not a question, this is just for your information if you do receive EI.
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In the last 6 months have you worked or been in education or training?* This field is required.A part-time or casual position is still considered employed.
Yes
No
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In the last 6 months you were involved in which of the following?
Registered for school
Attending School
Working PT, Casual or Seasonally
Combination of Work and Education
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Please describe the specifics of your work or trainingPlease ensure that you include the following: 1) Name of Company or Educational Institution 2) Part Time/Full Time/Other, please describe 3) When was the last time you attended? 4) Do you have plans to return in the next 3-6 months? Please also include any specifics you feel relevant for us to understand the circumstances of your involvement.
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Have you ever participated in any other government funded employment support programs?* This field is required.
YESNO
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Please provide us with the Program Name and approximate dates you attended* This field is required.
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What is your primary mode of transportation?* This field is required.For example, if you had to get to work, what would you use to get there?
Own car
Shared Car
Transit
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Which CTI locations could you attend?* This field is required.Please indicate the locations that would be accessible for you. It should be noted that some of our programs do require on-site attendance.
10 Milner Business Court, Scarborough, Ontario M1B 3C6
3200 Dufferin Street, Toronto, Ontario M6A 3B2
5045 Orbitor Drive, Building 8, Mississauga, Ontario L4W 4Y4
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Please select which of the following you have exclusive access to Monday to Friday from 10am to 4pm:* This field is required.
Wi-Fi
A working computer or laptop that can download apps such as GoToMeeting, Microsoft Word, Excel
A working computer or laptop that you can borrow if you do not own one
A quiet space to take video calls
A webcam to have turned on during video calls
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The WFC program is designed to support those who identify with employment barriers related to their mental health, and this could be diagnosed or self-identified. Do you identify as such?* This field is required.Some examples of common mental health barriers related to employment are anxiety before an interview, or struggling socially in a group setting. Feeling depressive and not having motivation to search and apply for jobs is another common mental health barrier.
YESNO
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Are you willing to join and interact in our group video sessions, which includes being on camera for participation purposes? (Being on camera is mandatory)* This field is required.
YESNO
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Imagine you are planning to start attending program sessions each week. On a scale of 5 emojis, how important is attending these sessions to you? * This field is required.
Row 0, Column 0Row 0, Column 1Row 0, Column 2Row 0, Column 3Row 0, Column 4
Row 0, Column 0Row 0, Column 1Row 0, Column 2Row 0, Column 3Row 0, Column 4
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Based on your answer to the previous question, how confident are you that you’ll be able to make it happen (in other words, how confident are you that you will be able to meet the program expectations?). Please use the star scale from 1 to 5.* This field is required.
1
2
3
4
5
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Are you able to commit to working 30+ hours per week for the duration of the program?* This field is required.
YESNO
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Final question! What's your phone number?* This field is required.
Please enter a valid phone number.
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One last thing!* This field is required. Please provide your email address.
example@example.com
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Further Resources for those Ineligable for CTI ProgramsWhile we hope that CTI's programs are a fit for you, this is not the case for everyone. Here are some resources that may be helpful and supportive.
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Thank youWe have received your application and it will be screened by our staff shortly and this may take up to a few days. If you are approved you will be provided with a calendar link via email to continue to the next step of intake or a follow up email. Sometimes this email may end up in your spam or junk mail depending on your permissions; please check these folders in your email to ensure you do not miss your booking email. If you received a resources sheet, unfortunately you are not eligible for program at this time. We hope the resources provided are helpful and please consider applying in the future should it be due to eligibility criteria
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