Pathway to Employment Assistance Program
Application Form
Program Overview
The Pathway to Employment Assistance Program provides financial assistance to individuals who have secured employment or are returning to the workforce but require essential work-related items to begin or maintain employment. Assistance may include work boots, work clothing, uniforms, personal protective equipment (PPE), tools, licensing fees, or other approved employment-related expenses
Applicant Information:
Full Legal Name:
Date of Birth:
-
Month
-
Day
Year
Date
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Mailing Address:
Employment Information
Are you currently employed?
Yes
No
Are you starting a new job?
Yes
No
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Are you returning to the workforce?
Yes
No
Employer/Company Name (if applicable):
Manager Name:
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Position/Job Title:
Expected Start Date:
-
Month
-
Day
Year
Date
Employment requirement requiring assistance:
Please describe the items you are requesting assistance for:
Work boots / safety footwear
Work clothing / uniform
Personal Protective Equipment (PPE)
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Other employment-related items
List requested items and estimated costs: Item Requested:
Estimated Cost:
Total Amount Requested:
Employment Requirement Verification:
Please provide supporting documentation where available:
Job offer letter
Employer confirmation
Workplace requirements list
Training or placement requirements
Quote or estimate for requested items
Other supporting documentation
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Preferred Store or Vendor:
Store Name:
Location:
Quote Attached?
Yes
No
Previous Assistance
Have you received assistance from From The People To The People before?
Yes
No
If yes:
Date assistance was received:
Amount received: $
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Applicant Declaration
I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that assistance is subject to program eligibility, available funding, and approval by From The People To The People. I authorize the organization to verify employment information where necessary. I understand that assistance is limited to a maximum of $500.00 CAD per person, per calendar year, and that providing false or misleading information may result in my application being denied or future assistance being refused.
I authorize From The People To The People to verify my employment information with my employer for the sole purpose of determining eligibility for this program.
I consent to employment verification.
Applicant Signature:
Date:
-
Month
-
Day
Year
Date
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Office Use Only
Application Number:
Date Received:
-
Month
-
Day
Year
Date
Reviewed By:
Employment Verified
Yes
No
Required Documentation Received
Job Offer
Quote(s)
Employer Verification
Other
Board Decision
Approved
Denied
Deferred
Amount Approved:
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Payment Method
Vendor Paid Directly
Reimbursement
Other
Director of Vetting & Research:
Signature:
Date:
-
Month
-
Day
Year
Date
Helping Canadians overcome barriers to employment
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