Workforce Development Agreement Survey Labour Market Survey Your First Name * Your Last Name * SIN# (required - this form is secure) * Address * City * Province * Postal Code * Year of Birth * Month of Birth * January February March April May June July August September October November December Day of Birth * Phone Email Gender * Female Male Other Prefer not to report Highest level of education * Less than High School Secondary school or GED Some Post Secondary College, CEGEP, or other non-university certificate, diploma or degree University certificate or diploma Other Prefer not to report Highest level of education if 'Other' above Hours worked prior to starting with program * Full Time Part Time Not Employed Don't Know/Refused to answer Marital Status Married or equivalent Single Prefer not to report Number of dependents (includes children and adults who are dependents) * 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Prefer not to report Do you have a disability? * Yes No Prefer not to report Do you identify as indigenous or first nations? * Yes No Prefer not to report Did you immigrate to Canada? * Yes No Prefer not to report Year of immigration Are you a visible minority? (other than indigenous) * Yes No Prefer not to report Federal official language of choice * English French English and French Not a federal official language Federal official language of service * English French English and French Not a federal offical language Employment status Employed - full time or part time - where there is an employer/employee relationship Unemployed Self-employed Not in the labour force Precariously employed * Yes No Prefer not to report reCAPTCHA Submit Share
