Empowering Youth Employment Readiness Program (EYER)
Please fill out the application form below.
You can also contact us at (416) 495 - 8832 EXT. 225 or EYER@regesh.com
Email *
First & Last Name *
Mailing Address *
Primary Phone *
Do you own a Presto Pass? *
Do you have a valid drivers license?
Clear selection
Do you have a computer with a webcam and access to strong internet connection? *
How did you hear about us? *
Required
If Facebook post, please specify which group or page: *
Date of Birth *
MM
/
DD
/
YYYY
Language Preference *
I am: *
Required
Marital Status: *
Number of Dependents (if none type "0") *
I identify as:
I identify my Ethnicity as: *
Required
Have you ever been diagnosed with a mental or physical disability?
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If Yes, please specify, we provide support for all peoples.
I am a: *
What is your area of interest for employment? *
Required
Please tell us the geographic location of your desired place to work?
In the past, have you struggled with addiction?
Clear selection
If YES, has it effected you in your job?
Clear selection
Feel free to tell us what you would like to get out of this program! *
Thank you, we look forward to helping you reach your goals! Screenshot our poster below to share with friends and family on the job hunt!
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