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Eligibility Criteria *I hereby certify that I am:
Note: If you do not meet all of the following criteria, you are not eligible for the program.
Given Name and Initial *
Permanent Address (Street) *
Postal Code *
Email Address *
Telephone Number *
Date of Birth *
Employment Status Prior to the Internship *
First Official Language *
Language(s) Spoken *
Language(s) Written *
Language Preference *
Internship Start Date *
Anticipated Internship End Date *
Institution Type *
Level of Education Achieved *
Name of Institution *Please indicate the name of each institution from which you have received a postsecondary diploma.
Name of Institution 2
Name of Program *
Name of Program 2
Indicate your program specialization *
Please check the corresponding box for each basic program participation criteria.
Note: Verification may be requested.
Aged between 15 and 30 at the beginning of the internship *
Not in receipt of Employment Insurance (EI) benefits *
Legally entitled to work in Canada according to the relevant provincial and Canadian legislation and regulations *
If you are declaring legal status to work in Canada, please select the option which identifies your legal category *
Please check the occupation type of the internship for which you would be considered.
Physical Science Professional
Physical Science Professional (Other)
Technical Occupation in Physical Science
Technical Occupation in Physical Science (Other)
Life Science Professional
Life Science Professional (Other)
Technical Occupation in Life Science
Technical Occupation in Life Science (Other)
Is this internship related to your field of study? *
The Federal Government is committed to equity in employment. You are encouraged to complete the following voluntary questions and indicate if you are a member of any of these groups. This information is being collected for program analysis purposes only.
Member of a Visible minority
Person with Disability
Member of Aboriginal Group
Aboriginal GroupIf yes, please specify:
The purpose of the Youth Employment Strategy (YES) is to provide a work experience that would facilitate the transition to the labour market. It is recommended that normally a young person has access to the Career Focus program under the YES only once.
Have you participated in a Career Focus program in the past? *
Participant Consent *I give my consent to Colleges and Institutes Canada to release information regarding my participation in a YES program. I acknowledge that the information here is collected and administered in accordance with The Privacy Act and may be used by Third Party Service providers for ESDC accountability and evaluation purposes of the Youth Employment Strategy and CICan's Clean Tech Internship.
I accept the terms & conditions.
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