Please fill out this application form to be eligible for an intake interview. Youth Employment Program Application Contact Information: Please note, this program will be offered as a mix of in-person and Zoom sessions. We are currently only admitting individuals who are double vaccinated into the program. Are you double vaccinated? *Yes, I have received both vaccines. No, but I will have both my vaccines before the start of the program. No Full Name as written on your resume and official IDs:* Email:* Home Address:* Home Phone Number: Cell Phone Number:* Date of Birth:*day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / year How did you hear about our Youth Employment Program?*Facebook InstagramTwitterWorkBCPublic Library BNH BuzzWhat's On BurnabyBNH Staff/VolunteerOtherEligibility: What type of work are you looking for?*Full-Time Permanent WorkPart-Time Permanent WorkFull-Time Temporary WorkPart-Time Permanent WorkI plan to study, not work Are you between 15 to 30 years of age? (To join this program you MUST be 15 to 30 years of age. People aged 14 or younger and 31 or older cannot participate.) *Yes No Citizenship Status:*Permanent ResidentRefugee StatusCanadian CitizenIndigenous Are you legally entitled to work in Canada?*YesNoUnsure Are you registered with any other Government-Funded programs? (For example, another employment program, EI...) *NoYes, I was or am in another employment program Yes, I am on Employment Insurance (EI)Other: Are you attending school full-time? (Please note, you MUST be available from 9:30 am to 3:30 pm, Monday to Friday, during the 3 weeks of training. Also, regular high school students are not eligible for this program.) *Yes No Unsure Are you Currently Employed?*NoYes, part-timeYes, full-timeYes but I'm looking for new employment Are you a resident of the Greater Metro Vancouver Area? (ex. Burnaby, Richmond, Vancouver, North Vancouver, West Vancouver, Surrey, White Rock...)*YesNo Unsure Logistical Information: Do you have access to a computer with internet connection?*YesNoMaybe Are you familiar with ZOOM*YesNo Are you able to commit to 6hrs a day for three weeks of full-time training? (9:30 am to 3:30 pm)*YesNoUnsure Are you able to commit to a 35hrs/week full-time work placement for 10 weeks?*YesNoUnsure Will you require assistance with Child Care? *YesNoUnsure Have you ever participated in any of our Burnaby Neighbourhood House programs, classes or events?*No I have notYes, I have participated in: Placement Info - Below are questions about your ideal placement: What field(s) are you hoping to go into? (No more than three)*Retail and Customer ServiceKitchen/RestaurantOffice & AdministrationSocial Services & Child CareComputers & TechnologyLabour and Trade SkillsService WorkArts & Media DesignAccounting & FinancialsHealth & FitnessOther: Name THREE job titles that you are looking in to? (Junior Accountant, Youth Worker, Administrative Assistant, Data Entry Clerk, etc...)* What are THREE organizations/companies you would be most interested to work for?* What are the last THREE Positions/Jobs you have held? (if under three, please include all applicable)* What are THREE Volunteer Experiences you participated in, in your life? (if under three, please include all applicable)* Final Comments, Questions, or Concerns about your placements: Anything we should know about you? Please upload your latest resume here (if you have it available). This will allow us to help you improve your resume sooner. If you do not have your resume handy, that is ok, we will ask you for it again after reviewing your application. SubmitReset
