A-457 Hamlet Employing Youth Application Package (HEY)

Part 1 - Employer Form

Business Legal Name

CRA Business Number

Business Telephone

Business Cellphone

Contact Person

Position Title

Email Address

Address

City/Town

State/Province

ZIP/Postal Code

Business Type

Have you accessed this program before?

Yes

If "Yes", what year?

Enter other…

Trainee Positions (minimum of three)

Why do you want a trainee? Please provide your rationale.

Trainer's Information

Trainee's Name

Has this Trainee been in a previous program?

Yes

If "Yes", when?

Enter other…

Estimated Start Date

Estimated End Date

Trainee Wage/hour: $

Hours/Week

Brief Background of Trainee )e.g. work, training,volunteer, etc.)

Learning Objectives: What skills, abilities and knowledge will the Student acquire and be able to demonstrate at the end of the training period?

Use this as the format or as a guideline. Please add any other information that you may find relevant to your training plan.

Comments:

Date

Signature of Employer Representative

Sign above

Name of Employer Representative

Steps