Skills and Partnership Agreement

Q-STEP - Skills & Partnership Fund

Step 1 of 5

Declaration and authorization to release information / ᓇᓗᓇᐃᖅᓯᔾᔪᑎ ᐊᒻᒪᓗ ᐱᔪᓐᓇᐅᑎᑦᑎᔾᔪᑎ ᓴᒃᑯᑕᐅᖁᓪᓗᒋᑦ ᑐᑭᓯᒋᐊᕈᑏᑦ
All fields with * are required / ᑎᑎᖅᓯᒪᔪᓕᒫᑦ ᐅᓪᓗᕆᐊᕐᖑᐊᓕᖕᒥ * ᑕᑕᑎᖅᑕᐅᒋᐊᖃᖅᑐᑦ
I, the undersigned, give my consent for Qikiqtani Inuit Association to release the information contained in this form regarding my participation in an SPF program to ESDC/Service Canada, Qikiqtani Inuit Association and Kakivak Association. I acknowledge that the information is collected and administered in accordance with the Privacy Act and applicable to privacy laws, and that is may be used to determine my eligibility for the SPF program and provided to ESDC/Service Canada for the evaluation and accountability of the SPF program / ᐅᕙᖓ, ᐊᑎᓕᐅᖅᑎᐅᓪᓗᖓ, ᐊᖏᖅᐳᖓ ᕿᑭᖅᑕᓂ ᐃᓄᐃᑦ ᑲᑐᔾᔨᖃᑎᒌᒃᑯᖏᖕᓂᑦ ᓴᒃᑯᐃᓗᑎᑦ ᑐᑭᓯᒋᐊᕈᑎᓂᑦ ᑕᒡᕙᓃᑦᑐᓂᑦ ᓈᑎᕆᐊᓕᒻᒥ ᐃᓚᐅᖃᑕᐅᓂᒃᓴᓐᓄᑦ SPF ᐱᓕᕆᐊᖓᓂᒃ ᑖᒃᑯᓄᖓ ᐃᖅᑲᓇᐃᔭᖅᑐᓕᕆᓂᕐᒧᑦ/ᐱᔨᑦᑎᕋᖅᑏᑦ ᑲᓇᑕᒥᒃᑯᓐᓄᑦ, ᕿᑭᖅᑕᓂ ᐃᓄᐃᑦ ᑲᑐᔾᔨᖃᑎᒌᖏᖕᓄᑦ, ᐊᒻᒪᓗ ᑲᑭᕙᒃ ᑲᑐᔾᔨᖃᑎᒌᖏᖕᓄᑦ. ᐃᓕᓴᖅᓯᕗᖓ ᑕᒪᒃᑯᐊ ᑐᑭᓯᒋᐊᕈᑏᑦ ᓄᐊᑕᐅᓯᒪᔪᑦ ᐊᒻᒪᓗ ᐊᐅᓚᑕᐅᒻᒪᑕ ᒪᓕᑦᑐᒋᑦ ᑲᙳᓇᖅᑐᒦᑎᑦᑎᔭᕆᐊᖃᕐᓂᕐᒧᑦ ᐱᖁᔭᕐᒥᒃ ᐊᒻᒪᓗ ᐊᑐᖅᑕᐅᔭᕆᐊᓖᑦ ᑲᙳᓇᖅᑐᓕᕆᓂᕐᒧᑦ ᐱᖁᔭᕐᓂᑦ, ᐊᒻᒪᓗ ᐊᑐᖅᑕᐅᔪᓐᓇᕋᖅᑐᓂ ᓇᓗᓇᐃᖅᑕᐅᖁᓪᓗᒍ ᐱᔪᓐᓇᕐᓂᕋ SPF ᐱᓕᕆᐊᖓᓄᑦ ᐊᒻᒪᓗ ᑐᓂᔭᐅᓗᑎᑦ ᐃᖅᑲᓇᐃᔭᖅᑐᓕᕆᓂᕐᒧᑦ/ᐱᔨᑦᑎᕋᖅᑏᑦ ᑲᓇᑕᒥᒃᑯᓐᓄᑦ ᖃᐅᔨᓴᖅᑕᐅᖁᓪᓗᒍ ᐊᒻᒪᓗ ᓵᑕᐅᓯᒪᔪᓐᓇᖁᓪᓗᒍ SPF ᐱᓕᕆᐊᖓ.*
- I agree
Please enter your name / ᐊᑏᑦ ᑎᑎᕋᙳᐊᑕᕐᓯᓐᓇᕈᒃ*
First Name / ᐊᑏᑦ Last Name / ᐊᑎᕈᓰᑦ
Today's Date / ᑎᑎᕐᓯᕕᒋᓗᒍ
Day / ᐅᓪᓗᖅ*
Month / ᑕᖅᑭᖅ*
Year / ᐊᕐᕌᒍ*
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Skills and Partnership Agreement

Q-STEP - Skills & Partnership Fund

Step 1 of 5

Personal Information / ᐃᕝᕕᑦ ᒥᔅᓵᓄᑦ ᑐᑭᓯᐅᒪᔾᔪᑎᔅᓴᑦ

Income & Employment / ᑮᓇᐅᔾᔭᒃᓵᑦ ᐊᒻᒪᓗ ᐃᖅᑲᓇᐃᔭᕐᓃᑦ

Education & Childcare / ᐃᓕᓐᓂᐊᖅᓯᒪᓃᑦ ᐊᒻᒪᓗ ᐸᐃᕆᔨᖃᕆᐊᖃᕐᓃᑦ

Declaration and authorization to release information / ᓇᓗᓇᐃᖅᓯᔾᔪᑎ ᐊᒻᒪᓗ ᐱᔪᓐᓇᐅᑎᑦᑎᔾᔪᑎ ᓴᒃᑯᑕᐅᖁᓪᓗᒋᑦ ᑐᑭᓯᒋᐊᕈᑏᑦ

Job title / ᐃᖅᑲᓇᐃᔮᑉ ᑕᐃᔭᐅᓂᖓ	Reason for leaving / ᐱᔾᔪᑏᑦ ᐃᖅᑲᓇᐃᔭᕈᓐᓃᖅᑐᒥᓂᐅᓂᕐᓄᑦ

Training / Course / ᐱᓕᒻᒪᒃᓴᖅᑕᒥᓃᑦ / ᐃᓕᓐᓂᐊᒐᒃᓴᖅ ᐃᓕᓐᓂᐊᖅᑕᒥᓃᑦ	Length / ᐊᑯᓂᐅᓂᖓ	Year Completed / ᐊᕐᕌᒍ ᐱᔭᕇᖅᑕᒥᓃᑦ