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Jobs For Youth Program: Non-profit Sector Application for Employers

Introduction:The Non-Profit Component of the Jobs for Youth Program is designed to create jobs for Island students by assisting non-profit organizations to carry out projects of special significance to Island communities.

All non-profit organizations on PEI can apply.

Please read the guidelines before completing this application.



Fields marked with a red star (*) are mandatory.

Part I - Applicant Information


Organization Name: *
Mailing Address:
Civic Address: *
Enter your civic address
Postal Code: *
Telephone: *
(555) 555-5555
Fax:
(555) 555-5555
Revenue Canada Business Registration Number: *
Business Name Registry #:
Workers Compensation Number: *
Primary Contact Name: *
Telephone: *
(555) 555-5555
Email: *
Alternate Contact Name:
Telephone:
(555) 555-5555
Email:
Part II - Project Description


If you want to include additional information about your objectives, activities and long term benefits, you can attach a file in Word or WordPerfect at the end of this submission.
Project Name: *
Objectives: *
State the objective(s) or anticipated results of your proposal.
Activities: *
Outline the activities planned to meet the objective(s).
Project Dates


When will your project operate. Payroll operates from Sunday to Saturday. Normally you would start on Monday and finish on Friday.
Start Date: *
(MM/DD/YYYY)
Finish Date: *
(MM/DD/YYYY)
Required Positions


List the number and type of position(s) required to carry out the project. Indiciate the start date, finish date and number of weeks.
Position Type 1


Approved student positions can be funded for 8 to 12 consecutive weeks. Students must be at least 16 years of age and have a minimum of grade 10.

Position Title: *
Start Date: *
(MM/DD/YYYY)
Finish Date: *
(MM/DD/YYYY)
Number of Weeks: *
Enter between 8 to 12 weeks.
Requirements: *
State the preferred education/skill/work experience for this position.
Position Type 2


Position Title:
Start Date:
(MM/DD/YYYY)
Finish Date:
(MM/DD/YYYY)
Number of Weeks:
Enter between 8 to 12 weeks.
Requirements:
State the preferred education/skill/work experience for this position.
Position Type 3


Position Title:
Start Date:
(MM/DD/YYYY)
Finish Date:
(MM/DD/YYYY)
Number of Weeks:
Enter between 8 to 12 weeks.
Requirements:
State the preferred education/skill/work experience for this position.
Position 4


Position Title:
Start Date:
(MM/DD/YYYY)
Finish Date:
(MM/DD/YYYY)
Number of Weeks:
Enter between 8 to 12 weeks.
Requirements:
State the preferred education/skill/work experience for this position.
Position 5


Position Title:
Start Date:
(MM/DD/YYYY)
Finish Date:
(MM/DD/YYYY)
Number of Weeks:
Enter between 8 to 12 weeks.
Requirements:
State the preferred education/skill/work experience for this position.
Position 6


Position Title:
Start Date:
(MM/DD/YYYY)
Finish Date:
(MM/DD/YYYY)
Number of Weeks:
Enter between 8 to 12 weeks.
Requirements:
State the preferred education/skill/work experience for this position.
Is your project a new initiative? If not, explain why the project is being revived.:
Previous Funding


Was your project proposal previously funded through a government program?
If so, indicate the name of the program and attach a project summary of activities carried out:
Long Term Benefits:
What long term benefits will be derived from your proposed project?
Payroll and Supervision


Name the person(s) who will be responsible for maintaining the employees' time sheets and providing supervision to the employee(s).
Payroll Supervisor: *
Title: *
Telephone: *
(555) 555-5555
Work Supervisor: *
Title: *
Telephone: *
(555) 555-5555
Attachment:
If you want to insert additional information about your project, please attach a Word or WordPerfect file.
Declaration: *
I certify that the foregoing statements made by me are true in substance.




I authorize the PE I Employment Development Agency and the PE I Department of Fisheries, Aquaculture and Rural Development to verify the above information, to obtain or release information pertaining to m y suitability for employment and/or toobtain or release confidential information on employment insurance eligibility to be use d only for the purpose o f providing employment opportunities.

Do you want a copy of the form?


Please send me a simple text-only version of the information I submitted.
Please send me an Acrobat version of the form, with the information I've entered above filled in, that I can print and save.
Please send me both the text-only version and the PDF.
Important Note: Email is not, by its very nature, a secure medium; if you choose to have your form emailed to you, the information you entered will be transmitted over the public Internet to your email box.

Email to address:

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