Program Application Form This form is used to collect applications for our business and nonprofit programs. Please select one:(Required) We are Black Led/Owned We are an Ally Group Primary Contact Name(Required) First Last Primary Contact Email(Required) Primary Contact PhoneAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country ProgramPlease select all programs you are applying for.(Required) Trustee Program Capacity Building Program Canada-Ontario Job Grant Please select all programs you are applying for.(Required) Capacity Building Program Canada-Ontario Job Grant Program InformationDo you have a specific grant you wish to apply for through this program?(Required) Yes No Grant DetailsWhen is the application deadline?(Required) MM slash DD slash YYYY Please provide the name of the grant.(Required)Please select the type of grant your organization is applying for.(Required)Provincial GovernmentMunicipal GovernmentFederal GovernmentPrivate/Public (Non-government)Please give an overview or description of the grant project.How much funding are you applying for?(Required) First Choice Second Choice Third Choice Do you have a grant application completed already?(Required) Yes No Please describe the goal(s) and impact of your project.What are the project's key performance indicators?Please describe the program process.Please provide a breakdown for how the funding will be used.Consider: personnel costs (salaries and wages, consultants), training, space, equipment purchase or rental, travel, copier, telephone, general office supplies, etc. Do you have experience managing / running a program or service that impacted the community? If yes, please provide an example. If no, please enter "N/A".General InformationDoes your organization have a bank account (and at least 2 signing authorities)?(Required) Yes No Do you have an active Board of Directors?(Required) Yes No Does your organization have a system of tracking expenses?(Required) Yes No Canada Ontario Job GrantEligibility I am licensed to operate my business in Ontario I am in compliance with the Occupational Health and Safety Act and the Employment Standards Act I am in compliance with all applicable federal and provincial human rights legislation, regulations, and any other relevant standards I am not a federal, provincial or municipal government or agency I am not an Employment Service or a Canada-Ontario Job Grant service provider I am not in receipt of other government funds related to the same skills training for the same individual(s) I have adequate third-party liability insurance as advised by my insurance broker WSIB coverage or an alternative Workplace Safety Insurance in order to be eligible for the COJG program This training request does not displace existing staff or replace staff currently on lay-off Employees to be trained live in Ontario Training occurs in Ontario Jobs are located in Ontario I am not legally required to provide my employees with the training I am applying COJG funding for No trainees are business owners or have a controlling interest in the employer submitting the application I am not a district social services administration board established under the District Social Services Administration Boards Act, notwithstanding their exclusion under the Broader Public Sector Accountability Act; and Title First Name Middle Name Last Name Date MM slash DD slash YYYY Employer Legal Name Business Name (hereinafter referred to as the 'Employer') Preferred Language English French Canada Revenue Agency Number Corporate Address (Street, City/Town, Province, Postal Code) Closest Intersection to Corporate Address Business Address if different than Corporate Address (Street, City/Town, Province, Postal Code) Business Phone Number Business Email Type of Business Private Not-for-Profit First Nations Years Business Registered Total Number of Employees in Company Total Number of Employees in Your Branch/Location Type of Sector Accommodation and Food Services Administrative and Support, Waste Management and Remediation Services Agriculture, Forestry, Fishing and Hunting Arts, Entertainment and Recreation Construction Educational Services Finance and Insurance Health Care and Social Assistance Information and Cultural Industries Management of Companies and Enterprises Manufacturing Including Food Mining, Quarrying, and Oil and Gas Extraction Professional, Scientific and Technical Services Real Estate and Rental and Leasing Retail Trade Transportation and Warehousing Utilities Wholesale Trade Other Services, except Public Administration Is this company-specific training (i.e. training that is specific to a company's processes and/or equipment, proprietary software, etc.)? Yes No Which of the following training categories best describes the training you are requesting? Career or development training: This type of training is designed to enhance the skills, knowledge and ability of employees to support career advancement. Maintenance and refresher skills training: This training is offered to update and maintain the skills, knowledge and ability of specialists (i.e. administrators, supervisors, frontline workers, etc.) within an organization. Essential skills training: This training is offered to help individuals develop skills used in the workplace such as reading, document use, writing, numeracy, oral communication, thinking, digital technology, working with others and continuous learning. What type of skills will be gained with the training you are requesting? Essential skills: see definition above of essential skills in the previous question. Specialized or technical skills: Are the skills required to operate a particular machine or use a particular technology. Management and business skills: Are skills related to strategic planning, leading and motivating, allocating and controlling resources, evaluating, co-ordinating and organizing, recruiting and hiring, supervising. Soft skills: Are skills related to job readiness, personal management skills (e.g. personal goal setting, time management), working as a team, etc. Will new hires be paid during training? Yes No N/A Will incumbent staff be paid during training? Yes No N/A What is the expected credential/certificate to be earned upon successful completion of this training? No credential Educational Industry/occupation (10 or fewer hours of training) Industry/occupation (more than 10 hours of training) Proprietary How many positions will increase from part-time to full-time employment as a result of the training? How many positions are seasonal? How many existing workers will remain in their current job as a result of the training? How many layoffs will be avoided with this training? How many employees will be in a more advanced occupation as a result of the training? How many employees will see an increase in wages as a result of the training? How many trainees do you intend to hire upon completion of the training? How many full-time positions will be filled by unemployed individuals? How many positions will increase from seasonal to year-round as a result of the training? How many individuals will obtain an industry recognized certification as a result of the training? How many part-time positions will be filled by unemployed individuals?