JTS Application Apply Today! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastGender *MaleFemaleOtherOther (Please Specify) *Address - Street, City, Province, Postal Code *How long have you lived at this address? *How long have you resided in Edmonton? *Date of Birth (M/D/Y) *Gender *MaleFemaleOtherOther (Please Specify) *Are you a Canadian citizen? *YesNoAre you legally allowed to work in Canada? *YesNoDo you have valid Alberta ID? *YesNoDo you have a work permit? *YesNoS.I.N.Phone #: *Alternate Phone #:Alternate Contact - Name/Relationship/Phone *Email *Where were you living and what were you doing for work in the last 6 months? *How did you hear about this program? *Word of mouth referralWebsiteSocial MediaotherWe DO NOT provide a living allowance. Will you need help with finding financial assistance if accepted? *yesnoDo you identify as Indigenous? *YesNoWhat nation are you from? *If no, are you open to learning about Indigenous Culture?yesnoDo you have a valid driver's license? *yesnoLicense Class:If yes, do you have a reliable, registered, insured vehicle to drive to work? *yesnoIf no, what mode of transportation will you use?Do you have any valid safety tickets? (if so, please provide us with a copy of your tickets):WHMISTDGCSTSFirst Aid/CPRH2SForkliftGround DisturbanceConfined spaceFall arrestOtherUpload photos of your tickets Click or drag a file to this area to upload. Do you plan on returning to School? *yesnoIf yes, have you applied for funding? What school will you be attending? What courses? When is your start date?Many companies require employees to be tested for drug and alcohol use; Would this be a concern? *yesnoAre you in good physical condition? *yesnoAre you able to lift 50lbs? *yesnoAre you able to stand for 8-12 hour shifts? *yesnoAre you able to work out of town? *yesnoDo you suffer from mental health illnesses? *yesnoAny upcoming surgeries? *yesnoDo you have any ongoing medical treatments? *yesnoUpload your Resume Click or drag a file to this area to upload. What is your highest level of education? *Year completed? *Name of School, City, Province *Have you participated in any other employment program? If yes, please list program and locations *Marital StatusSingleMarriedDivorcedWidowedCommon-lawTell us about your last jobWho was your employer?What was your position?When did you start and finish that job? Start date - End dateWhy did you leave your position?What was your hourly wage?On average, how many hours a week were you working?If any, what barriers do you think you have towards getting full time work?Example: no driver's license, criminal record, lack of child care, etcDo you give consent for JTS staff to check your information on the Government Mobius data base? *YesNoIn order to advocate and offer the best support for our students, it is necessary for the staff of the JTS program to have your consent to gain general information about you. Due to policies from other agencies such as AB Health, AB works, Children's Services, Daycare Subsidy, AB Human Resources, Bent Arrow workers and employers, it is sometimes necessary that we forward a student's 'signed authorization form' to the agency we need information from. PLEASE NOTE: we will be conducting a MOBIUS (Gov. of AB) database search to ensure that you meet the program eligibility requirements and that you are NOT currently involved with any other employment or training program. WE MAY BE IN CONTACT WITH YOUR INCOME SUPPORT WORKER FOR FOLLOW-UP PURPOSES AND TO UPDATE AND REVIEW YOUR PROGRESS. All of this information will be strictly confidential during your involvement with the program and will only be shared with government agencies and band offices for funding, confirmation of enrollment and follow-up purposes. Only the JTS program staff and the involved parties will have access to the information collected during the duration of our service delivery. All information collected in accordance with the Freedom of Information and Protection of Privacy Act of Alberta (FOIP), will be used for the purpose of service assessment and delivery of services. By choosing the yes box, you understand the conditions outlined above and all questions have been answered correctly. Furthermore, you understand that this consent remains in effect for the duration of services up to the 180 day follow-up period. Submit
