YMCA of Niagara - Employment Services - TIPA

Date *

Applicant's Name *

First

Last

Parent/Guardian's Name

First

Last

If the applicant is under 18 years

Contact Number *

Contact E-mail *

I am completing this form as *

A job-seeker
An employer

I attest that the Service Provider has provided me with a copy of the Employment Service Training Incentive Placement Agreement, and I have read, understood, and agree to comply with the Agreement. The Service Provider has also provided information with regards to the rights and obligations pertaining to employment standards prior to the start of the placement.

Applicant's Signature

Applicant's Name *

First

Last

Please sign/initial and type in your name to acknowledge the terms and conditions

TIPA – Terms and Conditions

Training Incentive Placement Agreement

Terms and Conditions