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Central Intake Form

Road to Work Program is accepting applications! Please apply below if you’d like us to contact you. 

(We offer support to 18–26-year old’s)
Do you identify as one of the following indigenous groups?
What supports are you looking to receive from YOUCAN?
Please enter them here
Barriers To Employment (Select All That Apply)
Everyone has barriers; we ask so that we can find out the best way to support the youth who come to our program. Please be as honest as possible.
Please explain here
What type of specific work or schooling would you like support with when you are completed the program?
If you choose "school program" to the previous question please add it here.
Do you have a driver’s licence?
Do you have access to reliable transportation to get to and from work?
Bus, train, own a vehicle etc.
Are you legally entitled to work within Canada?
Are you interested in a specific program?
How did you hear about YOUCAN?
Select all that apply
Please explain here
500 Characters or less. No website links.