Date of Birth / ᑎᑎᕐᓯᕕᒋᓗᒍ ᐅᑭᐅᑎᑦ ᓇᓛᓃᕝᕕᖏᑦ
Start date of training / ᐅᓪᓗᖅ ᐱᒋᐊᕐᓂᕆᒐᔭᖅᑕᖓ ᐱᓕᒻᒪᒃᓴᕐᓂᕐᒧᑦ
Expected end date of training / ᖃᖓ ᐃᓕᓐᓂᐊᕇᓛᕐᓂᐊᕋᓱᒋᕕᑦ?
Date applied / ᐅᓪᓗᖅ ᐱᓇᓱᑦᑕᒥᓂᖅᑎᑦ
I certify that the information is true, correct, and complete and understand that it may be subject to verification. I hereby authorize Service Canada for Indigenous Skills and Employment Training Agreement to release information about the status and benefit rate of Employment Insurance claim to Kakivak Association to determine my eligibility for the program and/or for alternative income support. This authorization will remain UNLESS I give written instruction to cancel the authorization.
ᓇᓗᓇᐃᖅᓯᕗᖓ ᑐᑭᓯᒋᐊᕈᑏᑦ ᓱᓕᒻᒪᑕ, ᐱᑦᑎᐊᖅᓯᒪᓪᓗᑎᑦ, ᐊᒻᒪᓗ ᐱᔭᕇᖅᓯᒪᓪᓗᑎᑦ ᐊᒻᒪᓗ ᑐᑭᓯᓪᓗᖓ ᑕᒪᒃᑯᐊ ᓱᓕᒐᓗᐊᕐᒪᖔᑕ ᖃᐅᔨᓴᖅᑕᐅᖅᑳᓚᐅᕐᓗᑎᑦ ᐱᓇᓲᑎᒐ ᑲᒪᒋᔭᐅᒐᔭᕐᒪᑦ. ᑕᐃᒪᐃᒻᒪᑦ ᐱᔪᓐᓇᑎᑦᑎᕗᖓ ᑲᓇᑕᒥ ᐱᔨᑦᑎᕋᖅᑎᒃᑯᑦ ᓄᓇᖃᖅᑳᖅᓯᒪᔪᑦ ᐊᔪᕈᓐᓃᖅᓴᓂᖏᖕᓄᑦ ᐊᒻᒪᓗ ᐃᖅᑲᓇᐃᔮᖅᑖᖅᑎᑕᐅᓇᓱᐊᕐᓗᑎᑦ ᐱᓕᒻᒪᒃᓴᖅᑕᐅᔾᔪᑎᖏᑦᑕ ᐊᖏᕈᑎᖓᓄᑦ ᐱᓪᓗᒍ ᓴᒃᑯᐃᔪᖃᕈᓐᓇᕐᒪᑦ ᑐᑭᓯᒋᐊᕈᑎᓂᑦ ᖃᓄᐃᓕᖓᓕᕐᓂᖓᑕ ᐃᑲᔫᓯᐊᖅᑖᕆᖃᑦᑕᕋᔭᕐᒪᓗ ᐃᖅᑲᓇᐃᔭᙱᑐᖅᓯᐅᑎᑖᕆᒐᓱᐊᖅᑕᓐᓂᒃ ᓴᒃᑯᑕᐅᓗᑎᑦ ᑲᑭᕙᒃᑯᑦ ᑲᑐᔾᔨᖃᑎᒌᖏᖕᓄᑦ ᓇᓗᓇᐃᖅᑕᐅᖁᓪᓗᒍ ᐱᓕᒻᒪᒃᓴᖃᑕᐅᔪᓐᓇᕋᔭᕐᓂᕋ ᐊᒻᒪᓗ/ᐅᕝᕙᓘᓐᓃᑦ ᐊᓯᖏᖕᓂᑦ ᑮᓇᐅᔾᔭᒃᓵᓂᑦ ᐃᑲᔪᖅᑐᖅᑕᐅᒍᓐᓇᕋᔭᕐᓂᕋ. ᑖᓐᓇ ᐱᔪᓐᓇᑎᑦᑎᔾᔪᑎ ᐊᑐᕋᒃᓴᐅᒐᔭᖅᑐᖅ ᑎᑎᕋᖅᓯᒪᔪᑎᒍᑦ ᑎᓕᓯᒐᓱᐊᕐᓂᕐᓂ ᐊᑐᖅᑕᐅᖁᒍᓐᓃᕐᓗᒍ ᐱᔪᓐᓇᐅᑎᖃᕐᓂᖏᑦ ᑐᑭᓯᒋᐊᕈᑎᓂᑦ ᓴᒃᑯᐃᕕᐅᓗᑎᑦ.
