{"id":8,"date":"2026-03-27T17:33:15","date_gmt":"2026-03-27T17:33:15","guid":{"rendered":"http:\/\/99.79.178.57\/?page_id=8"},"modified":"2026-03-27T18:52:50","modified_gmt":"2026-03-27T18:52:50","slug":"forms","status":"publish","type":"page","link":"https:\/\/stcform.vnit.ca\/","title":{"rendered":"Forms"},"content":{"rendered":"\n<p class=\"is-style-default\"><\/p>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-style-default is-layout-flow wp-block-column-is-layout-flow\"><div class='fluentform ff-default fluentform_wrapper_3 ffs_custom_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ff-form-has-steps ffs_custom\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">STC Employment Training Services Student Funding Application<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='8' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"fc11f6cd9a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F8\" \/><div class='ff-step-container' data-name=\"step_start-3_26\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><div class='ff-el-progress-status' aria-live='polite'><\/div>\n            <div class='ff-el-progress'>\n                <div role='progressbar'  class='ff-el-progress-bar'><span><\/span><\/div>\n            <\/div>\n            <ul style='display: none' class='ff-el-progress-title'>\n                <li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li>\n            <\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-3_26\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><div style=\"text-align: center;margin-bottom: 10px\">\n    <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/stcform.vnit.ca\/wp-content\/uploads\/2026\/03\/logo-300x248.png\" alt=\"STC Logo\" width=\"164\" height=\"135\" \/>\n<\/div>\n\n<h1 style=\"text-align: center;text-decoration: underline;font-size: 50px;margin: 0;font-weight: 700\">\n    STC EMPLOYMENT &amp; TRAINING SERVICES STUDENT FUNDING APPLICATION\n<\/h1><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_2\" ><h3 class='ff-el-section-title'>STC Employment Training Services Consent To Disclose Academic\/Personal Information &amp; Media Release<\/h3><div class='ff-section_break_desk'><p data-start=\"294\" data-end=\"477\">The client agrees to repay any financial assistance received that they are not entitled to, including payments made in error, overpayments, or costs not eligible under this agreement.<\/p>\n<p data-start=\"479\" data-end=\"644\">Funding is subject to the availability of funds provided by SITAG and Canada. Financial assistance may be reduced or cancelled if funding is changed or discontinued.<\/p>\n<p data-start=\"646\" data-end=\"801\">If the client stops participating, does not attend regularly, or does not meet minimum participation or progress requirements, funding may be discontinued.<\/p><\/div><hr \/><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='I hereby consent and authorize the release and disclosure to the STC Employment &amp; Training Services any information, reports, materials, or statements, or part thereof, concerning myself as may be required for the purpose of verifying eligibility for financial assistance and checking eligibility for continued assistance. This includes such things as claims for dependents, registration and attendance at an institution, any grade reports, and receipt of all other financial aid.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_1_5c0b952769d452c16d888ff30c2d0f43><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_1\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_1\" id=\"terms-n-condition_1_5c0b952769d452c16d888ff30c2d0f43\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>I hereby consent and authorize the release and disclosure to the <strong>STC Employment &amp; Training Services<\/strong> any information, reports, materials, or statements, or part thereof, concerning myself as may be required for the purpose of verifying eligibility for financial assistance and checking eligibility for continued assistance. This includes such things as claims for dependents, registration and attendance at an institution, any grade reports, and receipt of all other financial aid.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='I hereby authorize the release and disclosure to the STC Employment &amp; Training Services for the purpose of sharing my information, resume, and information for employment purpose only.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_2_d6c6ffccd5ce8107f5eafe93e3c48706><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_2\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_2\" id=\"terms-n-condition_2_d6c6ffccd5ce8107f5eafe93e3c48706\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>I hereby authorize the release and disclosure to the <strong>STC Employment &amp; Training Services<\/strong> for the purpose of sharing my information, resume, and information for employment purpose only.<\/p><\/div><\/label><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='I hereby authorize and consent to the use of my voice and\/or visual image by STC Employment &amp; Training Services. I give this consent to STC Employment &amp; Training Services to use and publish the same in print and\/or electronic formats, with no claim for payment.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_3_da21eb5f12592b8bbf3c055bafb5282b><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition_3\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition_3\" id=\"terms-n-condition_3_da21eb5f12592b8bbf3c055bafb5282b\"  value='on' aria-invalid='false' aria-required=false><\/span> <div class='ff_t_c'><p>I hereby authorize and consent to the use of my voice and\/or visual image by <strong>STC Employment &amp; Training Services<\/strong>. I give this consent to STC Employment &amp; Training Services to use and publish the same in print and\/or electronic formats, with no claim for payment.<\/p><\/div><\/label><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_3\" ><h3 class='ff-el-section-title'>Saskatchewan Indian Training Assessment Group Inc. Consent To Disclose Personal Information<\/h3><div class='ff-section_break_desk'><p data-start=\"56\" data-end=\"330\">I consent to the disclosure and use of my personal information by the Saskatchewan Indian Training Assessment Group, Inc. (SITAG) Network of First Nation Employment Agencies to fulfill the objectives of the First Nation Labour Market Strategy (FNLMS) as follows:<\/p>\n<p style=\"padding-left: 40px\" data-start=\"332\" data-end=\"693\">(a) Verifying eligibility for (or entitlement to) benefits through Service Canada under Part II of the <em data-start=\"435\" data-end=\"461\">Employment Insurance Act<\/em> and for 1) applying Section 25 referrals, which allows clients who are active EI claimants to continue to receive benefits while taking part in SITAG activities. 2) counsel to leave employment applications if I am already employed.<\/p>\n<p style=\"padding-left: 40px\" data-start=\"695\" data-end=\"761\">(b) Permitting SITAG and funders to assess and evaluate the FNLMS.<\/p>\n<p style=\"padding-left: 40px\" data-start=\"763\" data-end=\"1004\">(c) For registered members of Saskatchewan First Nations: Communicating with the Agency that represents the Tribal Council or First Nation, of which I am a member, for the purposes of collaboration and reporting on services and sponsorships.<\/p>\n<p style=\"padding-left: 40px\" data-start=\"1006\" data-end=\"1384\">(d) Referral to additional support and services through SITAG\u2019s delivery partner, Saskatchewan Indian Institute of Technologies (SIIT). Please mark which referrals you would like by selecting below:<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Referral to additional support and services through SITAG\u2019s delivery partner, Saskatchewan Indian Institute of Technologies (SIIT)\">Referral to additional support and services through SITAG\u2019s delivery partner, Saskatchewan Indian Institute of Technologies (SIIT)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_6_8599643721aa0afcb19a7c30daaf67dd'><input  type=\"checkbox\" name=\"checkbox_6[]\" data-name=\"checkbox_6\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Wellness &amp; Learning Supports \u2013 learning assessments and referrals to wellness services\"  id='checkbox_6_8599643721aa0afcb19a7c30daaf67dd' aria-label='Wellness &amp; Learning Supports \u2013 learning assessments and referrals to wellness services' aria-invalid='false' aria-required=false> <span>Wellness &amp; Learning Supports \u2013 learning assessments and referrals to wellness services<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_6_8b1a5fdaee56113228319c897ac9fdc5'><input  type=\"checkbox\" name=\"checkbox_6[]\" data-name=\"checkbox_6\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Career Centres \u2013 job coaching, employment readiness and employer connections\"  id='checkbox_6_8b1a5fdaee56113228319c897ac9fdc5' aria-label='Career Centres \u2013 job coaching, employment readiness and employer connections' aria-invalid='false' aria-required=false> <span>Career Centres \u2013 job coaching, employment readiness and employer connections<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_4\" ><p>For the purposes of part (a), this consent shall remain in force for one year from this date. This information will be disclosed to the Canadian government and other funders and will be retained by SITAG (100 \u2013 103A Packham Avenue, Saskatoon, SK). I understand the information collected and disclosed is protected under Canada\u2019s Privacy Act and that I have a right under the Privacy Act to obtain access to the information. I understand that SITAG will use my information to determine my eligibility, and I confirm that such information is true and complete.<\/p><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='I have read and agree to the Saskatchewan Indian Training Assessment Group Inc. Consent To Disclose Personal Information\n&nbsp;' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_917b3634bdce08361c8c79de4a95ed78><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_917b3634bdce08361c8c79de4a95ed78\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>I have read and agree to the Saskatchewan Indian Training Assessment Group Inc. Consent To Disclose Personal Information<\/p>\n<p>&nbsp;<\/p><\/div><\/label><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_5\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_6\" ><h3 class='ff-el-section-title'>PERSONAL INFORMATION<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 49.82%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_names_middle_name_' id='label_ff_3_names_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[middle_name]\" id=\"ff_3_names_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_last_name_' id='label_ff_3_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Enter Your Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Gender\">Gender<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_703e5b295a0927bb093a20b4102c7c5a'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Male\"  id='input_radio_2_703e5b295a0927bb093a20b4102c7c5a' aria-label='Male' aria-invalid='false' aria-required=true> <span>Male<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_7d7ea8d83a047ff61eed28d53f9936e6'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Female\"  id='input_radio_2_7d7ea8d83a047ff61eed28d53f9936e6' aria-label='Female' aria-invalid='false' aria-required=true> <span>Female<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_37c9c6a35430f9a98a813b6690984e72'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Unspecified\"  id='input_radio_2_37c9c6a35430f9a98a813b6690984e72' aria-label='Unspecified' aria-invalid='false' aria-required=true> <span>Unspecified<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' id='label_ff_3_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50.18%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_datetime' id='label_ff_3_datetime' aria-label=\"Date of Birth\">Date of Birth<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date of Birth Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_3_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Enter Your DOB\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Disability\">Disability<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_a98594bbda9de5f946f6ce6aaa4fb19c'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_3_a98594bbda9de5f946f6ce6aaa4fb19c' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_6496ef05daef9871633cc0607a3af5e4'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_3_6496ef05daef9871633cc0607a3af5e4' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_phone' id='label_ff_3_phone' aria-label=\"Phone\/Mobile\">Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone\" id=\"ff_3_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_address_line_1_' id='label_ff_3_address_1_address_line_1_' aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_3_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_city_' id='label_ff_3_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_3_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_state_' id='label_ff_3_address_1_state_' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_3_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Province\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_zip_' id='label_ff_3_address_1_zip_' aria-label=\"Postal Code\">Postal Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_3_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Postal Code\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_country_' id='label_ff_3_address_1_country_' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_3_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"Select Country\" data-key_name=\"country\" aria-invalid='false' aria-required=true><option value=''>Select Country<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' selected>Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_dropdown' id='label_ff_3_dropdown' aria-label=\"Aboriginal Group\">Aboriginal Group<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_3_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Registered Indian\"  >Registered Indian<\/option><option value=\"Non\u2013Status Indian\"  >Non\u2013Status Indian<\/option><option value=\"M\u00e9tis\"  >M\u00e9tis<\/option><option value=\"Inuit\"  >Inuit<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_dropdown_1' id='label_ff_3_dropdown_1' aria-label=\"Contribution Area\">Contribution Area<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_3_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_3_dropdown_1\"><option value=\"\">- Select -<\/option><option value=\"SU CRF\"  >SU CRF<\/option><option value=\"SU EI\"  >SU EI<\/option><option value=\"ST EI\"  >ST EI<\/option><option value=\"ST CRF\"  >ST CRF<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text' id='label_ff_3_input_text' aria-label=\"First Nation (Band)\">First Nation (Band)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"First Nation\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_1' id='label_ff_3_input_text_1' aria-label=\"Status\/ Band Number\">Status\/ Band Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"Status #\" data-name=\"input_text_1\" id=\"ff_3_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Marital Status\">Marital Status<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_998cb4e2d27eb89d2b4e1e1ec3ae2a8c'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Common-law\"  id='input_radio_998cb4e2d27eb89d2b4e1e1ec3ae2a8c' aria-label='Common-law' aria-invalid='false' aria-required=true> <span>Common-law<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6b5c74b8d1e7b179ec52f66e6c287e84'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Divorced\"  id='input_radio_6b5c74b8d1e7b179ec52f66e6c287e84' aria-label='Divorced' aria-invalid='false' aria-required=true> <span>Divorced<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_db8106ddc0ab816af0251babdd407174'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Married\"  id='input_radio_db8106ddc0ab816af0251babdd407174' aria-label='Married' aria-invalid='false' aria-required=true> <span>Married<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_34616c82b52f123cd34c70bc6b83b1d0'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Separated\"  id='input_radio_34616c82b52f123cd34c70bc6b83b1d0' aria-label='Separated' aria-invalid='false' aria-required=true> <span>Separated<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_558c188b4b8377a4f821762a64d6ca4b'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Single\"  id='input_radio_558c188b4b8377a4f821762a64d6ca4b' aria-label='Single' aria-invalid='false' aria-required=true> <span>Single<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_69fcfee887b72c5ae1acb378bb2da7ed'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Widowed\"  id='input_radio_69fcfee887b72c5ae1acb378bb2da7ed' aria-label='Widowed' aria-invalid='false' aria-required=true> <span>Widowed<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Language\">Language<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_08525f7998b911374ac46ca5a50ceb60'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Indigenous Only\"  id='input_radio_1_08525f7998b911374ac46ca5a50ceb60' aria-label='Indigenous Only' aria-invalid='false' aria-required=true> <span>Indigenous Only<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_71c6bdab636617ef747d534394348e8f'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"English Only\"  id='input_radio_1_71c6bdab636617ef747d534394348e8f' aria-label='English Only' aria-invalid='false' aria-required=true> <span>English Only<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_cfd63ed649c4bddcceea52b1b0da1f6e'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"French Only\"  id='input_radio_1_cfd63ed649c4bddcceea52b1b0da1f6e' aria-label='French Only' aria-invalid='false' aria-required=true> <span>French Only<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_1f3b5fc1907322901afa42600880bec0'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Indigenous, French &amp; English\"  id='input_radio_1_1f3b5fc1907322901afa42600880bec0' aria-label='Indigenous, French &amp; English' aria-invalid='false' aria-required=true> <span>Indigenous, French &amp; English<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_d901415fdc285decce646c5e672fb36a'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Indigenous &amp; English\"  id='input_radio_1_d901415fdc285decce646c5e672fb36a' aria-label='Indigenous &amp; English' aria-invalid='false' aria-required=true> <span>Indigenous &amp; English<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_785bfcc3eba7a0f89bf471a930f224c0'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"English &amp; French\"  id='input_radio_1_785bfcc3eba7a0f89bf471a930f224c0' aria-label='English &amp; French' aria-invalid='false' aria-required=true> <span>English &amp; French<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_7\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_8\" ><h3 class='ff-el-section-title'>Client\u2019s status at the start of the action plan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Client Status at Intake\">Client Status at Intake<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_c4e0116e86c0cf9bc586f4398ae5ff32'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Employed\"  id='input_radio_4_c4e0116e86c0cf9bc586f4398ae5ff32' aria-label='Employed' aria-invalid='false' aria-required=true> <span>Employed<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_c9554ef4a05c10f87bc6ca56c9c26dca'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Unemployed\"  id='input_radio_4_c9554ef4a05c10f87bc6ca56c9c26dca' aria-label='Unemployed' aria-invalid='false' aria-required=true> <span>Unemployed<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_c252ebf3a50f7e33ff9e077d4743f480'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Student\"  id='input_radio_4_c252ebf3a50f7e33ff9e077d4743f480' aria-label='Student' aria-invalid='false' aria-required=true> <span>Student<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"For Employed Clients\">For Employed Clients<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_711699ba125b7552a08a40c5026f899b'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Full-time\"  id='input_radio_5_711699ba125b7552a08a40c5026f899b' aria-label='Full-time' aria-invalid='false' aria-required=true> <span>Full-time<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_4ec32cc28cbb0f5b77fa5dcbe2a401f7'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Part-time\"  id='input_radio_5_4ec32cc28cbb0f5b77fa5dcbe2a401f7' aria-label='Part-time' aria-invalid='false' aria-required=true> <span>Part-time<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_2' id='label_ff_3_input_text_2' aria-label=\"Occupation (NOC)\">Occupation (NOC)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_3_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_9\" ><h3 class='ff-el-section-title'>Highest level of education received at the start of the action plan<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff_list_4col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Education Level\">Education Level<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_08a70b1c5f1291bfdc6642c2b0cafa30'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"No Formal Education\"  id='input_radio_6_08a70b1c5f1291bfdc6642c2b0cafa30' aria-label='No Formal Education' aria-invalid='false' aria-required=true> <span>No Formal Education<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_e702be1511d85980cbacd203b778ab74'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Grade 7 \u2013 8\"  id='input_radio_6_e702be1511d85980cbacd203b778ab74' aria-label='Grade 7 \u2013 8' aria-invalid='false' aria-required=true> <span>Grade 7 \u2013 8<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_641839417495888d4b018520f543ef49'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Grade 9 \u2013 10\"  id='input_radio_6_641839417495888d4b018520f543ef49' aria-label='Grade 9 \u2013 10' aria-invalid='false' aria-required=true> <span>Grade 9 \u2013 10<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_70b0a7ec35fdaed5910d7b8446b7b4ba'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Grade 11 \u2013 12\"  id='input_radio_6_70b0a7ec35fdaed5910d7b8446b7b4ba' aria-label='Grade 11 \u2013 12' aria-invalid='false' aria-required=true> <span>Grade 11 \u2013 12<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_0fd3ac51dbeef895217a748c6ee4b741'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Secondary School Diploma or GED\"  id='input_radio_6_0fd3ac51dbeef895217a748c6ee4b741' aria-label='Secondary School Diploma or GED' aria-invalid='false' aria-required=true> <span>Secondary School Diploma or GED<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_e1a759c02171ab7b3a770db2e319a80f'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Some Post Secondary\"  id='input_radio_6_e1a759c02171ab7b3a770db2e319a80f' aria-label='Some Post Secondary' aria-invalid='false' aria-required=true> <span>Some Post Secondary<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_4f2b5d8b1174b649908d39f34186b7e2'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"College Certificate\/Diploma\"  id='input_radio_6_4f2b5d8b1174b649908d39f34186b7e2' aria-label='College Certificate\/Diploma' aria-invalid='false' aria-required=true> <span>College Certificate\/Diploma<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_85c3c15c6afed9b2be3a7444378e0d20'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Apprenticeship or Trades . Certificate\/Diploma\"  id='input_radio_6_85c3c15c6afed9b2be3a7444378e0d20' aria-label='Apprenticeship or Trades . Certificate\/Diploma' aria-invalid='false' aria-required=true> <span>Apprenticeship or Trades . Certificate\/Diploma<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_88c102f2131eb4be855a89987bf9c7bc'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"University Certificate\/Diploma\"  id='input_radio_6_88c102f2131eb4be855a89987bf9c7bc' aria-label='University Certificate\/Diploma' aria-invalid='false' aria-required=true> <span>University Certificate\/Diploma<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_07675068a8ea8c27881f9ec9b996f0ba'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"University Bachelor Degree\"  id='input_radio_6_07675068a8ea8c27881f9ec9b996f0ba' aria-label='University Bachelor Degree' aria-invalid='false' aria-required=true> <span>University Bachelor Degree<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_0f017c3d59fd2915689004d7fb968e19'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"University Masters Degree\"  id='input_radio_6_0f017c3d59fd2915689004d7fb968e19' aria-label='University Masters Degree' aria-invalid='false' aria-required=true> <span>University Masters Degree<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_dea3ee5512f3f514cef28a77eb838967'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"University Doctorate\"  id='input_radio_6_dea3ee5512f3f514cef28a77eb838967' aria-label='University Doctorate' aria-invalid='false' aria-required=true> <span>University Doctorate<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_dropdown_4' id='label_ff_3_dropdown_4' aria-label=\"Province Obtained In\">Province Obtained In<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_3_dropdown_4\" class=\"ff-el-form-control\" data-name=\"dropdown_4\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_dropdown_4\"><option value=\"\">- Select -<\/option><option value=\"Alberta\"  >Alberta<\/option><option value=\"British Columbia\"  >British Columbia<\/option><option value=\"Manitoba\"  >Manitoba<\/option><option value=\"New Brunswick\"  >New Brunswick<\/option><option value=\"Newfoundland and Labrador\"  >Newfoundland and Labrador<\/option><option value=\"Northwest Territories\"  >Northwest Territories<\/option><option value=\"Nova Scotia\"  >Nova Scotia<\/option><option value=\"Nunavut\"  >Nunavut<\/option><option value=\"Ontario\"  >Ontario<\/option><option value=\"Prince Edward Island\"  >Prince Edward Island<\/option><option value=\"Quebec\"  >Quebec<\/option><option value=\"Saskatchewan\"  >Saskatchewan<\/option><option value=\"Yukon\"  >Yukon<\/option><\/select><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_10\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_11\" ><h3 class='ff-el-section-title'>Dependents and Childcare<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_dropdown_2' id='label_ff_3_dropdown_2' aria-label=\"# of dependents (under 18 residing in your care):\"># of dependents (under 18 residing in your care):<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_3_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_3_dropdown_2\"><option value=\"\">- Select -<\/option><option value=\"0\"  >0<\/option><option value=\"1\"  >1<\/option><option value=\"2\"  >2<\/option><option value=\"3\"  >3<\/option><option value=\"4\"  >4<\/option><option value=\"5\"  >5<\/option><option value=\"6\"  >6<\/option><option value=\"7\"  >7<\/option><option value=\"8\"  >8<\/option><option value=\"9\"  >9<\/option><option value=\"10\"  >10<\/option><option value=\"11\"  >11<\/option><option value=\"12\"  >12<\/option><option value=\"13\"  >13<\/option><option value=\"14\"  >14<\/option><option value=\"15\"  >15<\/option><option value=\"16\"  >16<\/option><option value=\"17\"  >17<\/option><option value=\"18\"  >18<\/option><option value=\"19\"  >19<\/option><option value=\"20\"  >20<\/option><option value=\"More than 20\"  >More than 20<\/option><\/select><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_12\" ><h3 class='ff-el-section-title'>Income situation during the previous month<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Social Assistance\">Social Assistance<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_8f30adb4147fd1cf80d3dd1f14dbc3dd'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"N\/A\"  id='input_radio_7_8f30adb4147fd1cf80d3dd1f14dbc3dd' aria-label='N\/A' aria-invalid='false' aria-required=true> <span>N\/A<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_8a2aea3dbde857e225b35ad512b36bc1'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Federal (on-reserve)\"  id='input_radio_7_8a2aea3dbde857e225b35ad512b36bc1' aria-label='Federal (on-reserve)' aria-invalid='false' aria-required=true> <span>Federal (on-reserve)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_4a5b02635b214c578483417ad8a9d903'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Provincial (off-reserve)\"  id='input_radio_7_4a5b02635b214c578483417ad8a9d903' aria-label='Provincial (off-reserve)' aria-invalid='false' aria-required=true> <span>Provincial (off-reserve)<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_13\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_14\" ><h3 class='ff-el-section-title'>EMPLOYMENT BARRIERS<\/h3><div class='ff-section_break_desk'><p>Please check ALL of the option\u2019s that apply<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"EMPLOYMENT BARRIERS\">EMPLOYMENT BARRIERS<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_c8aaa3276b1c18f895fa0f71bf4f1f1b'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"None \u2013 No barriers to employment exist\"  id='checkbox_c8aaa3276b1c18f895fa0f71bf4f1f1b' aria-label='None \u2013 No barriers to employment exist' aria-invalid='false' aria-required=true> <span>None \u2013 No barriers to employment exist<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_d62fb1061aac1bf1d73a541d1fbe659c'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Lack of Labour Force Attachment\u2013 Client has not been in the job market for over 3 years\"  id='checkbox_d62fb1061aac1bf1d73a541d1fbe659c' aria-label='Lack of Labour Force Attachment\u2013 Client has not been in the job market for over 3 years' aria-invalid='false' aria-required=true> <span>Lack of Labour Force Attachment\u2013 Client has not been in the job market for over 3 years<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_d0ff0e7b40f712774c3cedf0fbc07b34'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Lack of Work Experience \u2013 Little or no work history\"  id='checkbox_d0ff0e7b40f712774c3cedf0fbc07b34' aria-label='Lack of Work Experience \u2013 Little or no work history' aria-invalid='false' aria-required=true> <span>Lack of Work Experience \u2013 Little or no work history<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_cd275ea2dc2971d768064aa350a66db2'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Lack of Transportation \u2013 No access to any form of transportation to get to employment \/ counselling\"  id='checkbox_cd275ea2dc2971d768064aa350a66db2' aria-label='Lack of Transportation \u2013 No access to any form of transportation to get to employment \/ counselling' aria-invalid='false' aria-required=true> <span>Lack of Transportation \u2013 No access to any form of transportation to get to employment \/ counselling<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_72a59ee5d06e77f4a9e22f907d6489bf'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Remoteness\u2013Client lives in a remote area with limited access to job market\"  id='checkbox_72a59ee5d06e77f4a9e22f907d6489bf' aria-label='Remoteness\u2013Client lives in a remote area with limited access to job market' aria-invalid='false' aria-required=true> <span>Remoteness\u2013Client lives in a remote area with limited access to job market<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_0118a4882e398b7efbfc4ffb67815737'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Language \u2013 Not fluent in the language required for the job market\"  id='checkbox_0118a4882e398b7efbfc4ffb67815737' aria-label='Language \u2013 Not fluent in the language required for the job market' aria-invalid='false' aria-required=true> <span>Language \u2013 Not fluent in the language required for the job market<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a1d7e2d1ebdab55c69ee332dac66275e'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Education \u2013 Client does not have the education required for the job market\"  id='checkbox_a1d7e2d1ebdab55c69ee332dac66275e' aria-label='Education \u2013 Client does not have the education required for the job market' aria-invalid='false' aria-required=true> <span>Education \u2013 Client does not have the education required for the job market<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_adafebad921cdd2c65a9b14cd578e163'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Economic \u2013 Client does not have finances to purchase required job items (uniforms, relocation, etc.)\"  id='checkbox_adafebad921cdd2c65a9b14cd578e163' aria-label='Economic \u2013 Client does not have finances to purchase required job items (uniforms, relocation, etc.)' aria-invalid='false' aria-required=true> <span>Economic \u2013 Client does not have finances to purchase required job items (uniforms, relocation, etc.)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_09bfa3808cc267b900321008334bd6d1'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Dependent Care \u2013 Limited or no access for childcare or family related care\"  id='checkbox_09bfa3808cc267b900321008334bd6d1' aria-label='Dependent Care \u2013 Limited or no access for childcare or family related care' aria-invalid='false' aria-required=true> <span>Dependent Care \u2013 Limited or no access for childcare or family related care<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_39f19a295c32b400469697a44b4fa4e5'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Lack of Marketable Skills \u2013 Due to shift in job market, the clients marketable skills become limited\"  id='checkbox_39f19a295c32b400469697a44b4fa4e5' aria-label='Lack of Marketable Skills \u2013 Due to shift in job market, the clients marketable skills become limited' aria-invalid='false' aria-required=true> <span>Lack of Marketable Skills \u2013 Due to shift in job market, the clients marketable skills become limited<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_50d8c4d79dc1378b076761946ea91004'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Health \u2013 Client has a physical or mental health barrier\"  id='checkbox_50d8c4d79dc1378b076761946ea91004' aria-label='Health \u2013 Client has a physical or mental health barrier' aria-invalid='false' aria-required=true> <span>Health \u2013 Client has a physical or mental health barrier<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label ff-other-option' for='checkbox_d196b7442649bb9e0ddc5795c72a468c'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"__ff_other_checkbox__\"  id='checkbox_d196b7442649bb9e0ddc5795c72a468c' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-other-input-wrapper' style='display: none; margin-top: 8px;' data-field='checkbox'><input type='text' name='checkbox__ff_other_input__' class='ff-el-form-control' placeholder='Please specify...' value=''><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description_1' id='label_ff_3_description_1' aria-label=\"Notes:\">Notes:<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description_1\" name=\"description_1\" id=\"ff_3_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_15\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_16\" ><h3 class='ff-el-section-title'>BASELINE INFORMATION<\/h3><div class='ff-section_break_desk'><p>The baseline information determines the client\u2019s attachment to the labour force within the last year. The client\u2019s involvement in employment or training in the last 52 weeks is recorded below.<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_5' id='label_ff_3_input_text_5' aria-label=\"Reference (Current Month)\">Reference (Current Month)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" data-name=\"input_text_5\" id=\"ff_3_input_text_5\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_6' id='label_ff_3_input_text_6' aria-label=\"Reference (Previous year)\">Reference (Previous year)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_3_input_text_6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_17\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><p>#of weeks paid employment (during the last 52 weeks):<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_7' id='label_ff_3_input_text_7' aria-label=\"Full time employment\">Full time employment<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" data-name=\"input_text_7\" id=\"ff_3_input_text_7\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_8' id='label_ff_3_input_text_8' aria-label=\"Part time employment\">Part time employment<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_8\" class=\"ff-el-form-control\" data-name=\"input_text_8\" id=\"ff_3_input_text_8\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_18\" ><h3 class='ff-el-section-title'><\/h3><div class='ff-section_break_desk'><p># of weeks of school attendance (during the last 52 weeks):<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_9' id='label_ff_3_input_text_9' aria-label=\"Full time school\">Full time school<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" data-name=\"input_text_9\" id=\"ff_3_input_text_9\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_10' id='label_ff_3_input_text_10' aria-label=\"Part time school\">Part time school<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" data-name=\"input_text_10\" id=\"ff_3_input_text_10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_19\" ><div class='ff-el-group  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Current Situation - Please only check either option #1, 2, or 3 &amp; then under the option selected choose all that apply:\">Current Situation - Please only check either option #1, 2, or 3 &amp; then under the option selected choose all that apply:<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_13dba4db61fc19418e3f07084c23596d'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Actively searching for work (within the last month)\"  id='input_radio_8_13dba4db61fc19418e3f07084c23596d' aria-label='Actively searching for work (within the last month)' aria-invalid='false' aria-required=true> <span>Actively searching for work (within the last month)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_9ba6f81db6d3ee7adb8fbb1f46355d07'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Not available for work\"  id='input_radio_8_9ba6f81db6d3ee7adb8fbb1f46355d07' aria-label='Not available for work' aria-invalid='false' aria-required=true> <span>Not available for work<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_520264eeaf42680fa94043913475a965'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Would like to work but not searching\"  id='input_radio_8_520264eeaf42680fa94043913475a965' aria-label='Would like to work but not searching' aria-invalid='false' aria-required=true> <span>Would like to work but not searching<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Actively searching for work (choose all that apply)\">Actively searching for work (choose all that apply)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_b15a1d8bfb854cc2706a2408a898fe79'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Checked with job agency\"  id='checkbox_1_b15a1d8bfb854cc2706a2408a898fe79' aria-label='Checked with job agency' aria-invalid='false' aria-required=true> <span>Checked with job agency<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_556bd35f61d828c582f78587dcf7dbb2'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Made applications\"  id='checkbox_1_556bd35f61d828c582f78587dcf7dbb2' aria-label='Made applications' aria-invalid='false' aria-required=true> <span>Made applications<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_df21445202522b375e8bfbc2da6debbc'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Contacted Employers\"  id='checkbox_1_df21445202522b375e8bfbc2da6debbc' aria-label='Contacted Employers' aria-invalid='false' aria-required=true> <span>Contacted Employers<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_d05bef480a99c2e9ab213901eb1f4dbc'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Attended Job interviews\"  id='checkbox_1_d05bef480a99c2e9ab213901eb1f4dbc' aria-label='Attended Job interviews' aria-invalid='false' aria-required=true> <span>Attended Job interviews<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_4e0f93d288130303ebb7c47376c614bd'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Reviewed job postings\"  id='checkbox_1_4e0f93d288130303ebb7c47376c614bd' aria-label='Reviewed job postings' aria-invalid='false' aria-required=true> <span>Reviewed job postings<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_e4e740929b6a18c2b1476a359bdc2311'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Sent out resumes\"  id='checkbox_1_e4e740929b6a18c2b1476a359bdc2311' aria-label='Sent out resumes' aria-invalid='false' aria-required=true> <span>Sent out resumes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label ff-other-option' for='checkbox_1_aefe90158cf6e28d4a5fe76c7430564e'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"__ff_other_checkbox_1__\"  id='checkbox_1_aefe90158cf6e28d4a5fe76c7430564e' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-other-input-wrapper' style='display: none; margin-top: 8px;' data-field='checkbox_1'><input type='text' name='checkbox_1__ff_other_input__' class='ff-el-form-control' placeholder='Please specify...' value=''><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Not available for work (choose all that apply)\">Not available for work (choose all that apply)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_ed90cc29a3b04970a2f504c7b2fcf1a2'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Cannot afford clothes, tools, etc\"  id='checkbox_2_ed90cc29a3b04970a2f504c7b2fcf1a2' aria-label='Cannot afford clothes, tools, etc' aria-invalid='false' aria-required=true> <span>Cannot afford clothes, tools, etc<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_66add4e8c63e73a5d80f451e5e5d6490'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Have a disability\"  id='checkbox_2_66add4e8c63e73a5d80f451e5e5d6490' aria-label='Have a disability' aria-invalid='false' aria-required=true> <span>Have a disability<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_01bfa152ea1ebd2800efac135bd6f887'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Struggle with addiction issues\"  id='checkbox_2_01bfa152ea1ebd2800efac135bd6f887' aria-label='Struggle with addiction issues' aria-invalid='false' aria-required=true> <span>Struggle with addiction issues<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_c0f5dfccbdcdeefd76470ab8d4d69710'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Legal issues\"  id='checkbox_2_c0f5dfccbdcdeefd76470ab8d4d69710' aria-label='Legal issues' aria-invalid='false' aria-required=true> <span>Legal issues<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_bcead40f7821efe0c296ea20270215f4'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Health issues\"  id='checkbox_2_bcead40f7821efe0c296ea20270215f4' aria-label='Health issues' aria-invalid='false' aria-required=true> <span>Health issues<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_2b65f55cf699e7d91089ada873bc8261'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Have family responsibilities\"  id='checkbox_2_2b65f55cf699e7d91089ada873bc8261' aria-label='Have family responsibilities' aria-invalid='false' aria-required=true> <span>Have family responsibilities<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label ff-other-option' for='checkbox_2_cfc74e601f513821e1b9b17f9f2b94fa'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"__ff_other_checkbox_2__\"  id='checkbox_2_cfc74e601f513821e1b9b17f9f2b94fa' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-other-input-wrapper' style='display: none; margin-top: 8px;' data-field='checkbox_2'><input type='text' name='checkbox_2__ff_other_input__' class='ff-el-form-control' placeholder='Please specify...' value=''><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Would like to work but not searching (choose all that apply)\">Would like to work but not searching (choose all that apply)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_dbb558a8f61d9765dd22526db3a9e0c2'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Do not have a drivers license\"  id='checkbox_3_dbb558a8f61d9765dd22526db3a9e0c2' aria-label='Do not have a drivers license' aria-invalid='false' aria-required=true> <span>Do not have a drivers license<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_2ebe875d8775ea809e61aeea41788f55'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Do not have child care\"  id='checkbox_3_2ebe875d8775ea809e61aeea41788f55' aria-label='Do not have child care' aria-invalid='false' aria-required=true> <span>Do not have child care<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_f2e8e081e6b13f076693db4df913d024'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"No transportation\"  id='checkbox_3_f2e8e081e6b13f076693db4df913d024' aria-label='No transportation' aria-invalid='false' aria-required=true> <span>No transportation<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_e744195cb57f6cbec507939742b96c25'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Health issues\"  id='checkbox_3_e744195cb57f6cbec507939742b96c25' aria-label='Health issues' aria-invalid='false' aria-required=true> <span>Health issues<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_a92d27153ac1fb2e66218b4687c0c4a4'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Legal issues\"  id='checkbox_3_a92d27153ac1fb2e66218b4687c0c4a4' aria-label='Legal issues' aria-invalid='false' aria-required=true> <span>Legal issues<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_48a3700a848774923236b20332fde364'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"There are no jobs available in area\"  id='checkbox_3_48a3700a848774923236b20332fde364' aria-label='There are no jobs available in area' aria-invalid='false' aria-required=true> <span>There are no jobs available in area<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label ff-other-option' for='checkbox_3_1646ad50685b8e30a3bb9a0dab21c236'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"__ff_other_checkbox_3__\"  id='checkbox_3_1646ad50685b8e30a3bb9a0dab21c236' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-other-input-wrapper' style='display: none; margin-top: 8px;' data-field='checkbox_3'><input type='text' name='checkbox_3__ff_other_input__' class='ff-el-form-control' placeholder='Please specify...' value=''><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_20\" ><div class='ff-el-group  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Income Sources - Please indicate income sources during the previous month:\">Income Sources - Please indicate income sources during the previous month:<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_faf7bb91e504872af49de3f0f92fb389'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"None\"  id='checkbox_4_faf7bb91e504872af49de3f0f92fb389' aria-label='None' aria-invalid='false' aria-required=true> <span>None<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_2cecc461b80b702b07e7a21cb0963ec4'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Employment Insurance\"  id='checkbox_4_2cecc461b80b702b07e7a21cb0963ec4' aria-label='Employment Insurance' aria-invalid='false' aria-required=true> <span>Employment Insurance<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_0c47fe45d10e1e9740bc8a4402c2c27f'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Wages from Employment\"  id='checkbox_4_0c47fe45d10e1e9740bc8a4402c2c27f' aria-label='Wages from Employment' aria-invalid='false' aria-required=true> <span>Wages from Employment<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_c57565b0f7eea1b184f439562977ade6'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Disability Insurance\"  id='checkbox_4_c57565b0f7eea1b184f439562977ade6' aria-label='Disability Insurance' aria-invalid='false' aria-required=true> <span>Disability Insurance<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_b7cb9de3ed035dc000e1aaaf1173c20d'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Child Tax Benefit\"  id='checkbox_4_b7cb9de3ed035dc000e1aaaf1173c20d' aria-label='Child Tax Benefit' aria-invalid='false' aria-required=true> <span>Child Tax Benefit<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_234b2bbf56760a9bd39e1e2e7f6f3fe8'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Alimony \/ Child support\"  id='checkbox_4_234b2bbf56760a9bd39e1e2e7f6f3fe8' aria-label='Alimony \/ Child support' aria-invalid='false' aria-required=true> <span>Alimony \/ Child support<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_d85250500aca1dded12bb328f7149b22'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Provincial Training Allowance\"  id='checkbox_4_d85250500aca1dded12bb328f7149b22' aria-label='Provincial Training Allowance' aria-invalid='false' aria-required=true> <span>Provincial Training Allowance<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_e801ccc6a9fec9381102c4f6380ffead'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Labour Force Development Training Allowance\"  id='checkbox_4_e801ccc6a9fec9381102c4f6380ffead' aria-label='Labour Force Development Training Allowance' aria-invalid='false' aria-required=true> <span>Labour Force Development Training Allowance<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_524bdf8649b8f1b6bc446554a5c51ceb'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Social Assistance Recipient\"  id='checkbox_4_524bdf8649b8f1b6bc446554a5c51ceb' aria-label='Social Assistance Recipient' aria-invalid='false' aria-required=true> <span>Social Assistance Recipient<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label ff-other-option' for='checkbox_4_0ce3480dba9972817aa92610e1f00f7c'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"__ff_other_checkbox_4__\"  id='checkbox_4_0ce3480dba9972817aa92610e1f00f7c' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-other-input-wrapper' style='display: none; margin-top: 8px;' data-field='checkbox_4'><input type='text' name='checkbox_4__ff_other_input__' class='ff-el-form-control' placeholder='Please specify...' value=''><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-3_21\" ><p><strong>Employment Insurance<\/strong> (i.e. by signing the Consent to Disclose Information form, the client consents to the verification of their employment insurance eligibility )<\/p><\/div><div class='ff-el-group has-conditions  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"What is your current situation and history in receiving employment insurance benefits?\">What is your current situation and history in receiving employment insurance benefits?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_18d61016aa4bdd59b897ca8fce15795f'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Currently receiving Employment Insurance\"  id='checkbox_5_18d61016aa4bdd59b897ca8fce15795f' aria-label='Currently receiving Employment Insurance' aria-invalid='false' aria-required=true> <span>Currently receiving Employment Insurance<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_ac0ddf1307a8d0cf2e87f35c6958d17c'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Received EI in the last 3 years (or 5 years if maternity\/paternity leave)\"  id='checkbox_5_ac0ddf1307a8d0cf2e87f35c6958d17c' aria-label='Received EI in the last 3 years (or 5 years if maternity\/paternity leave)' aria-invalid='false' aria-required=true> <span>Received EI in the last 3 years (or 5 years if maternity\/paternity leave)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_218c7b587635a0a76aada102995fe47f'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Paid EI premiums in 5 out of 10 years but did not qualify for EI due to lack of hours (i.e. part-time clients, unemployed)\"  id='checkbox_5_218c7b587635a0a76aada102995fe47f' aria-label='Paid EI premiums in 5 out of 10 years but did not qualify for EI due to lack of hours (i.e. part-time clients, unemployed)' aria-invalid='false' aria-required=true> <span>Paid EI premiums in 5 out of 10 years but did not qualify for EI due to lack of hours (i.e. part-time clients, unemployed)<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_22\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_23\" ><h3 class='ff-el-section-title'>Work Related Information<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_11' id='label_ff_3_input_text_11' aria-label=\"What is the best job you have ever had? (enter the job and the NOC):\">What is the best job you have ever had? (enter the job and the NOC):<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_11\" class=\"ff-el-form-control\" data-name=\"input_text_11\" id=\"ff_3_input_text_11\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_5col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"1. How often do you travel to places outside your local area?\">1. How often do you travel to places outside your local area?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_491be1445bf6b841163014f4c81c05ba'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very seldom\"  id='input_radio_9_491be1445bf6b841163014f4c81c05ba' aria-label='Very seldom' aria-invalid='false' aria-required=true> <span>Very seldom<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_a0c06b1c552e15f048b6df718b04791c'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Once every few months\"  id='input_radio_9_a0c06b1c552e15f048b6df718b04791c' aria-label='Once every few months' aria-invalid='false' aria-required=true> <span>Once every few months<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_f30bc7fffec356b405d2c90cf71f71ae'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Once a month\"  id='input_radio_9_f30bc7fffec356b405d2c90cf71f71ae' aria-label='Once a month' aria-invalid='false' aria-required=true> <span>Once a month<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_a10b7d83be84c262a4f362c5351fe88d'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Once a week\"  id='input_radio_9_a10b7d83be84c262a4f362c5351fe88d' aria-label='Once a week' aria-invalid='false' aria-required=true> <span>Once a week<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_9_b0e635f1fbaef27e98a1169edbe49cea'><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"More than once a week\"  id='input_radio_9_b0e635f1fbaef27e98a1169edbe49cea' aria-label='More than once a week' aria-invalid='false' aria-required=true> <span>More than once a week<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_5col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"2. How do you rate your ability to use computers and the internet?\">2. How do you rate your ability to use computers and the internet?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_9ae6ba7dd5e1f89f47a60ec7b9af94ac'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I don\u2019t know how\"  id='input_radio_10_9ae6ba7dd5e1f89f47a60ec7b9af94ac' aria-label='I don\u2019t know how' aria-invalid='false' aria-required=true> <span>I don\u2019t know how<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_4a2eb4b9d3c75af4c5adad5c675bab97'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I am a beginner\"  id='input_radio_10_4a2eb4b9d3c75af4c5adad5c675bab97' aria-label='I am a beginner' aria-invalid='false' aria-required=true> <span>I am a beginner<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_da9520db5cb6433731312b3d01342c51'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I am average\"  id='input_radio_10_da9520db5cb6433731312b3d01342c51' aria-label='I am average' aria-invalid='false' aria-required=true> <span>I am average<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_93fc08cabe3af5644d4d5e62b8fd6b58'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I am pretty good\"  id='input_radio_10_93fc08cabe3af5644d4d5e62b8fd6b58' aria-label='I am pretty good' aria-invalid='false' aria-required=true> <span>I am pretty good<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_10_cb75f8ba7db61475d36c7fbc31e4397e'><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I am an expert\"  id='input_radio_10_cb75f8ba7db61475d36c7fbc31e4397e' aria-label='I am an expert' aria-invalid='false' aria-required=true> <span>I am an expert<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_5col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"3. How do you rate your overall level of health &amp; fitness?\">3. How do you rate your overall level of health &amp; fitness?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_657bfc7099541530b3c626f33abac99a'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very low\"  id='input_radio_11_657bfc7099541530b3c626f33abac99a' aria-label='Very low' aria-invalid='false' aria-required=true> <span>Very low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_7a7e00e790d544a149fda94c941e4fe3'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Low\"  id='input_radio_11_7a7e00e790d544a149fda94c941e4fe3' aria-label='Low' aria-invalid='false' aria-required=true> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_3a9e464b25c913211b61ec39e3770324'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Average\"  id='input_radio_11_3a9e464b25c913211b61ec39e3770324' aria-label='Average' aria-invalid='false' aria-required=true> <span>Average<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_2888dae0aa0f8bfd286e4ac6f24761e3'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"High\"  id='input_radio_11_2888dae0aa0f8bfd286e4ac6f24761e3' aria-label='High' aria-invalid='false' aria-required=true> <span>High<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_11_8d4f7362395a0e6420b5c2425dbdc25d'><input  type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very high\"  id='input_radio_11_8d4f7362395a0e6420b5c2425dbdc25d' aria-label='Very high' aria-invalid='false' aria-required=true> <span>Very high<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_5col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"4. How high is your interest and ability to learn new skills?\">4. How high is your interest and ability to learn new skills?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_c8185d56ee6da0c7c9962ea899a5d89a'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very low\"  id='input_radio_12_c8185d56ee6da0c7c9962ea899a5d89a' aria-label='Very low' aria-invalid='false' aria-required=true> <span>Very low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_ebf395920efe2732daefc39256bcaa94'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Low\"  id='input_radio_12_ebf395920efe2732daefc39256bcaa94' aria-label='Low' aria-invalid='false' aria-required=true> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_9fc2e1a6690eb5038bf7d8a90367a584'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Average\"  id='input_radio_12_9fc2e1a6690eb5038bf7d8a90367a584' aria-label='Average' aria-invalid='false' aria-required=true> <span>Average<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_8b3eff8a06ce12e222f0fe176953ecb7'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"High\"  id='input_radio_12_8b3eff8a06ce12e222f0fe176953ecb7' aria-label='High' aria-invalid='false' aria-required=true> <span>High<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_12_9b52de7238641ec1d33a89df1a247a5f'><input  type=\"radio\" name=\"input_radio_12\" data-name=\"input_radio_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very high\"  id='input_radio_12_9b52de7238641ec1d33a89df1a247a5f' aria-label='Very high' aria-invalid='false' aria-required=true> <span>Very high<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff_list_5col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"5. How would you rate the level of support you receive from friends and family?\">5. How would you rate the level of support you receive from friends and family?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_2e8c8ea231795652e4157e9e5675a8c8'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very low\"  id='input_radio_13_2e8c8ea231795652e4157e9e5675a8c8' aria-label='Very low' aria-invalid='false' aria-required=true> <span>Very low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_2d5746a180c6795682133df42995d4b5'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Low\"  id='input_radio_13_2d5746a180c6795682133df42995d4b5' aria-label='Low' aria-invalid='false' aria-required=true> <span>Low<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_a2bb50d44ef3d255f6c065f86805afa0'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Average\"  id='input_radio_13_a2bb50d44ef3d255f6c065f86805afa0' aria-label='Average' aria-invalid='false' aria-required=true> <span>Average<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_96a72e0e776b91ac85e696d7822b209b'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"High\"  id='input_radio_13_96a72e0e776b91ac85e696d7822b209b' aria-label='High' aria-invalid='false' aria-required=true> <span>High<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_13_d88ba461677bf9c5a771b9a48865c081'><input  type=\"radio\" name=\"input_radio_13\" data-name=\"input_radio_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Very high\"  id='input_radio_13_d88ba461677bf9c5a771b9a48865c081' aria-label='Very high' aria-invalid='false' aria-required=true> <span>Very high<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description' id='label_ff_3_description' aria-label=\"Additional Information \/ Notes:\">Additional Information \/ Notes:<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description\" name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Next'>Next<\/button><\/div><\/div><div style='display: none;' class=\" fluentform-step\" data-name=\"form_step-3_24\" ><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_25\" ><h3 class='ff-el-section-title'>INDIVIDUAL SPONSORSHIP INFORMATION REQUIREMENTS<\/h3><div class='ff-section_break_desk'><p>** You have 2-weeks from the receipt of this email to submit all required documents (except Letter of Acceptance), or maintain open communication with your ETS Navigator to hold your position in the funding queue on the wait list **<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_file-upload_1' id='label_ff_3_file-upload_1' aria-label=\"Copy of Letter of Acceptance from Training Institute stating: 1. Start and end date 2. Name of Program 3. Breakdown of costs (ie: tuition, books, supplies, and all other applicable fees)\">Copy of Letter of Acceptance from Training Institute stating: 1. Start and end date 2. Name of Program 3. 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Child Care Arrangements and Back up Arrangements 2. Housing Accommodations 3. Transportation to and from Training 4. Career Goals and How Training Will Help Goals?\">Letter of Intent \u2013 (Attention: Employment &amp; Training Services) outlining the following: 1. Child Care Arrangements and Back up Arrangements 2. Housing Accommodations 3. Transportation to and from Training 4. 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