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If you are a current or former youth in CFS (Child and Family Services) care, please CLICK HERE to fill out our online Futures Forward Intake Form.

Youth Employment Services Manitoba provides inclusive employment services for youth between 16 and 29.

    I would like to be contacted by YES within two (2) business days to book an appointment. Please note that a SIN is required to book an appointment.

    How did you hear about us?

    Contact Information



    A dependent is an individual who lives in the same household as the participant and for whom they have caregiving responsibilities. The dependent may be a child (by birth, marriage, adoption or be a foster child) or an adult dependent (e.g. an adult offspring with a disability).



    Date of Birth

    Gender Identity

    Gender Pronoun

    Marital Status

    Preferred Language

    Preferred Contact

    Indigenous Status

    Residency Status

    If Permanent Resident or Refugee ONLY

    Are you a member of a visual minority?

    Do you have any disabilities that may impact employment?

    Source of Income

    If Employed / Self Employed - Complete the following: Company Name - Position Title - Hire Date - Hours Worked Per Week - Hourly Wage


    How long have you been looking for employment?

    Are you currently in CFS care?

    Have you ever been in CFS care?

    Highest Level of Education

    Year Completed


    Did Youth Employment Services ever present at your school?

    Have you completed any of the Trainings or received Certificates of the following:


    As part of our funding agreement, we require the following Privacy Notice and Consent Form for Training and Employment Services to be signed. Please note Youth Employment Services is compliant with all FIPPA and PIPEDA legislation.

    Client Signature

    Current Date