Apply for Work-Able Employment Program First Name Last Name Initial Gender Gender Male Female Date of Birth Address City/Town Province Postal Code Cell Telephone No. Home Telephone No. What do you require assistance in (check all that apply) What do you require assistance in (check all that apply) Job hunting Resume & CV writing Computer training How to work in groups Understanding workplace policies Employee rights Solving Problems Leadership skills Other Day you will be available Day you will be available Tuesday (Sessions with Behavioural Therapist) Thursday (Sessions with Vocational Worker) Education Education Currently in High school Graduated High school Currently completing Post-Secondary Graduated College/ University Please list any previous work/volunteer experience Expectations from the WorkAble Program What are the goals would you like to achieve from the WorkAble Program? Please list any additional material or documentation you wish to share that will be helpful in developing/tailoring programming for you 5 + 2 = Submit