SDF5 - Employer Registration Form

Skills Development Fund Training Stream (SDF-TS) Employer Registration

This form is required ONLY for those SDF-TS projects with Employers. Sections marked with an asterisk (*) are mandatory. If the "Same as " or "Not applicable" box is checked please move directly to the next section.
Date of Registration (Service Provider Use Only)

MonthDayYear
Date
- Registered/Legal Name*
- Corporate Business Name (hereinafter referred to as the "Employer")*
- Canada Revenue Agency/Business Number*
- Total Number of Employees in Corporation (Registered Corporation)*
- Year Business Registered:*
  Enter the full year. Example: 1995, 2006
- Preferred Language*
  
  EnglishFrench
- Preferred Method of Communication*
  
  PhoneEmailHard Copy
- Unit Number
- Street Number*
- Street Name*
- PO Box
- City/Town*
- Province*
- Postal Code*
- Closest Intersection*
- Corporate Telephone Number*
  Format: (000) 000-0000.
- ext.
- Corporate Fax
- ext.
- Is your Mailing Address the same as your Corporate/Business Address?
  
  Yes
- If your Mailing Address is different from your Corporate/Business Address, please fill in the fields below.
- Unit Number
- Street Number
- Street Name
- PO Box
- CityTown
- Province
- Postal Code
- Closest Intersection
- Name*
  
  First NameMiddle InitialLast Name
- Title
- Email Address
  example@example.com
- Phone Number*
  Format: (000) 000-0000.
- ext.
- Fax Number
- ext.
- Not Applicable?
  
  Yes
- Name
  
  First NameMiddle InitialLast Name
- Title
- Email Address
  example@example.com
- Phone Number
  Format: (000) 000-0000.
- ext.
- Fax Number
- ext.
- Is your Business (Local Branch Information) the same as your Registered/Corporate Information?
  
  Yes
- If your Business (Local Branch Informatio)n is different from your Corporate/Business Information, please fill in the fields below.
- Unit Number
- Street Number
- Street Name
- PO Box
- City/Town
- Province
- Postal Code
- Closest Intersection
- Is your Primary Branch Details the same as your Registered/Corporate Information?
  
  Yes
- If your Primary Branch Information is different from your Corporate/Business Information , please fill in the fields below.
- Name
  
  First NameMiddle InitialLast Name
- Title
- Email Address
  example@example.com
- Phone Number
  Format: (000) 000-0000.
- ext.
- Fax Number
- ext
- Not Applicable?
  
  Yes
- Name
  
  First NameMiddle InitialLast Name
- Title
- Email Address
  example@example.com
- Phone Number
  Format: (000) 000-0000.
- ext.
- Fax Number
- ext.
- Employer Business Size (Total Number of Employees in your Branch/Location)
  
  1 - 99100 - 499500+
- Briefly describe your business and the types of occupations it supports.
- Type of Sector:*
  
  Agriculture, Forestry, Fishing, and HuntingMining, Quarrying, and Oil & Gas ExtractionUtilitiesConstructionManufacturingWholesale TradeRetail TradeTransportation and WarehousingInformation and Cultural IndustriesFinance and InsuranceReal Estate, Rental, and LeasingProfessional, Scientific and Technical ServicesManagement of Companies and EnterprisesAdministrative and Support, Waste Management and Remediation ServicesEducational ServicesHealthcare and Social AssistanceArts, Entertainment and RecreationAccommodation and Food ServicesOther Services (except public administration)Public AdministrationOther (please specify)
- Type of Business:*
  
  Agriculture, Forestry, Fishing, and HuntingMining, Quarrying, and Oil & Gas ExtractionUtilitiesConstructionManufacturingWholesale TradeRetail TradeTransportation and WarehousingInformation and Cultural IndustriesFinance and InsuranceReal Estate, Rental, and LeasingProfessional, Scientific and Technical ServicesManagement of Companies and EnterprisesAdministrative and Support, Waste Management and Remediation ServicesEducational ServicesHealthcare and Social AssistanceArts, Entertainment and RecreationAccommodation and Food ServicesOther Services (except public administration)Public AdministrationOther (please specify)
- Is your company currently/recently involved in lay-offs?
  
  YesNo
- Do you have third-party liability coverage?
  
  YesNo
- Which type of workplace safety insurance do you have?
  
  WSIBAlternative workplace safety insurance coverage (Please Specify)
- If you are receiving the wage subsidy for 2 apprentices, please complete both Placement Position 1 and Placement Position 2.
  
  If you have only 1 apprentice, you DON'T need to complete Placement Position 2.
- Placement Site Address 1
- Placement Site Address
  
  Same as Corporate AddressSame as Branch Address (if different from Corporate)
- Unit Number
- Street Number
- Street Name
- PO Box
- City/Town
- Province
- Postal Code
- Phone Number*
  Format: (000) 000-0000.
- ext.
- Fax Number
- ext.
- Email Address
  example@example.com
- Placement Information 1
- Placement Position Title (Trade Code)*
- Placement Position Title (Trade Code)
- Number of Available Positions*
- Placement Start Date*
  
  MonthDayYear
  Date
- Scheduled Days:
  
  Monday - Friday
- Hours of Work*
- Rate of Pay (per Hour)*
- NOC (National Occupational Classification)*
- NAICS (North American Industry Classification System)*
- Brief description of the placement(s) available
- Description of the duties and components of the placement(s)
- Basic skills required for the placement(s)
- What training are you providing to the participant(s)
- Other Requirements (if any)
- Are you receiving any other government funding associated with the employment/training of participants?*
  
  YesNo
- If Yes, specify
- Placement Site Address 2
- Placement Site Address
  
  Same as Corporate AddressSame as Branch Address (if different from Corporate)
- Unit Number
- Street Number
- Street Name
- PO Box
- City/Town
- Province
- Postal Code
- Phone Number
  Format: (000) 000-0000.
- ext.
- Fax Number
- ext.
- Email Address
  example@example.com
- Placement Information 2
- Placement Position Title (Trade Code)
- Number of Available Positions
- Placement Start Date
  
  MonthDayYear
  Date
- Scheduled Days:
  
  Monday - Friday
- Hours of Work
- Hours of Work
- NOC
- NAICS
- Rate of Pay (per hour)
- Brief Description of the placement(s) available
- Description of duties and components of the placement(s)
- Basic skills required for the placement(s)
- What training are you providing to the participant(s)?
- Other Requirements if any
- Are you receiving any other government funding associated with the employment/training of participants?*
  
  YesNo
- If Yes, please specify
- Declaration and Signature
  
  Note: Providing false or misleading information in this form may result in the refusal of the application, or in the termination of any agreement entered into following approval of the application.
- This certifies that the Employer:
  - is licensed to operate its business in Ontario;
  - provides training in Ontario which is related to a job that is located in Ontario;
  - complies with the Occupational Health and Safety Act and the Employment Standards Act;
  - maintains appropriate Workplace Safety and Insurance Board or private workplace safety insurance coverage;
  - has adequate third-party general liability insurance as advised by my insurance broker;
  - complies with all applicable federal and provincial human rights legislation, regulations, and any
  - if in receipt of other funds (government or otherwise) related to the same skills training for the same individual, funds must not exceed the total cost of wages paid to the participant; and
  - will not use training participants to displace existing staff or replace staff who are on lay-off.
  NOTE: Intentional falsification of information on this form may lead to termination from Skills Development Fund Training Stream.
- I am authorized to act on behalf of the Employer and the information on this form is complete and accurate.
  
  Yes
- I am authorized to act on behalf of the Employer and the information on this form is complete and accurate.*
  
  Yes
- Name
  
  First NameLast Name
- Name*
  
  First NameLast Name
- Title
- Title*
- Date
  
  MonthDayYear
  Date
- Date*
  
  MonthDayYear
  Date
- Assessment of Training Opportunity / Worksite:
- Please add email to receive submission confirmation (optional)
  example@example.com
- Should be Empty:

Skills Development Fund Training Stream (SDF-TS) Employer Registration

Declaration and Signature