Register Register Now 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. 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. ---YesNo - I will contact YES at a later date How did you hear about us? ---Apprenticeship ManitobaCAHRDCommunity AgencyEAS Service ProviderEmployability Assistance for People with DisabilitiesEmployerEmployment Manitoba PosterEmployment Partnership Service ProviderFamily/FriendFirst Nations OrganizationGovt Asst Refugee/Labour & ImmigrationHRSDC - Service Canada (Walk-in)InternetJob LinksManitoba StartMetis OrganizationNewspaper/AdProvincial AssistanceSchool/Transitional PlanningSelfTraining & Employment Services (TES)Training Institution Contact Information ------------ Dependents 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. ---YesNoNot Declared ------------ About Date of Birth Gender Identity Gender Pronoun Marital Status Married or EquivalentNot DeclaredSingle Preferred Language ---EnglishFrenchOther Preferred Contact ---PhoneEmailText Indigenous Status Status (On-Reserve)Status (Off-Reserve)Non-StatusMetisInuitNone Residency Status ---Canadian CitizenPermanent ResidentRefugee ClaimantStudent VisaWork Visa If Permanent Resident or Refugee ONLY Are you a member of a visual minority? YesNoNot Declared Do you have any disabilities that may impact employment? YesNo Source of Income ---EmployedSelf-EmployedProvincial Assistance (EIA)Employment Insurance (EI)NoneOther If Employed / Self Employed If Other How long have you been looking for employment? ---Less than 4 weeks1 - 6 Months7 - 12 Months13 - 24 MonthsMore than 24 months Are you currently in CFS care? ---YesNo Have you ever been in CFS care? ---YesNo Highest Level of Education 1 Year Apprenticeship1 Year College/Vocational Education1 Year University Education2 Year Apprenticeship2 Year College/Vocational Education2 Year University Education3 Year Apprenticeship3 Year College/Vocational Education3 Year University Education4 Year ApprenticeshipBachelor's DegreeCollege/Vocational DiplomaDoctorateGEDGrade 10Grade 11Grade 12Grade 5Grade 6Grade 7Grade 8Grade 9Journeyperson CertificationMaster's DegreeNo Formal Education Year Completed ---20002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 School/Institution Did Youth Employment Services ever present at your school? YesNo Completed Training, Certificates & Other CPR/First Aid Certified Food Handler Mental Health First Aid Non-Violent Crisis Intervention WHMIS Serving it Safe/It’s Good Business/Smart Choices Forklift Certification ASIST: Applied Suicide Intervention Skills Training Driver’s License Own Vehicle/Transportation Other 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. I agree to the Privacy Notice And Consent Form. Client Signature Current Date I give my consent to subscribe to Youth Employment Services’ (Y.E.S. Manitoba) electronic mailing list to receive upcoming workshop information, training information, and other agency news. I also understand by consenting, I may unsubscribe at any time.