Landscape Ontario: SDF Participant Registration Form

Landscape Ontario: SDF Participant Registration Form

Skills Development Fund • Ministry of Labour, Immigration, Training and Skills Development • Government of Ontario
Landscape Ontario's Workforce Development programs are funded by the Skills Development Fund under an agreement with the Ontario Ministry of Labour, Immigration, Training and Skills Development.

Your answers help us serve you better.

We are required to collect the following information from all training participants in order to plan, monitor and evaluate the performance of our program and the Skills Development Fund.

Your privacy is important to us.

Your information will not be shared.

Fields marked with an asterisk (*) are mandatory. You may save your progress and continue this form at a later time by clicking Save at the bottom of this form.

Staff is available to help you complete this form. If you have any questions or concerns please save your form and email wfd-help@landscapeontario.com
SERVICE PROVIDER USE ONLY • DATE OF REGISTRATION: REGISTRATION DATE
Participant Details
Training Program*
Please select the Landscape Ontario program or service you are currently using.
Select your GROW training cohort
(Approx. Start.Date) - (Location)
Full Name*

First NameLast Name
Middle Initial
Preferred Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
I identify as:*

ManWomanGender non-binaryTwo-spiritPrefer not to answerAnother gender identity (Please specify)
Do you identify as transgender? (optional)

YesNoQuestionningPrefer not to answer
Transgender is an umbrella term that refers to people whose gender identity, expression or behaviour is different from those typically associated with their assigned sex at birth. Identities considered to fall under this umbrella can include trans, transsexual, non-binary, gender fluid, and genderqueer - as well as many more.
Status in Canada*

Canadian CitizenPermanent ResidentNaturalized Canadian CitizenProtected PersonsPrefer not to sayOther
If you have immigrated to Canada, please indicate:
Country of Origin
Date of Entry into Canada

MonthDayYear
Date
Preferred Language*

EnglishFrench
Preferred Communication:

PhoneEmailHard Copy
Marital Status:*

MarriedCommon LawSeparatedDivorcedWidowedSinglePrefer not to say
Participant Address and Contact Information
Primary Mailing Address
Street Number*
Street Name*
Unit Number
PO Box
City/Town*
Province*
Postal Code*
Alternate Mailing Address
Street Number (Alternate)
Street Name (Alternate)
Unit Number (Alternate)
PO Box (Alternate)
City/Town (Alternate)
Province (Alternate)
Postal Code (Alternate)
Primary Phone*

HomeMobileOther
Primary Telephone Number*
Alternate Phone

HomeMobileOther
Alternate Telephone Number
Participant Profile Information
Which of the following best describes your current employment status? (Select only one answer.)*

EmployedSelf-EmployedEmployed, but currently on a leaveUnemployedNot employed and looking for workNot employed with an employment offerNot employed and not looking for workNot employed and unable to workAttending a school (elementary, high school or equivalent)Attending a universityAttending a collegeRegistered in an apprenticeship programIn other training or skills development programNot surePrefer not to say
Source of Income (Select only one answer)*

Employment Insurance (EI)Ontario Works (OW)Ontario Disability Support Program (ODSP)Crown Ward Extended Care and MaintenanceDependent of OW/ODSPNo incomeEmployed with employerSelf-EmployedNon-EI (other)Other (Please specify)
Self-identify as a member of a designated group(s)

Please complete if you wish to self-identify as a member of a designated group(s). Your response to this question is entirely voluntary and will not affect your eligibility. This information will be used by the Governments of Ontario and Canada for policy analysis and statistical purposes related to employment programs and services. (You may select more than one option)
You may select more than one group: (Optional)

First NationsFrancophoneImmigrantInuitJustice System InvolvedMétisNewcomerPerson with DisabilityRacialized PersonVeteranWomenYouthPrefer not to say
Education
Indicate your Highest Level of Education/Qualification:*

Grade 0 - 8Grade 9Grade 10Grade 11Grade 12 (or equivalent)OACCertificate of ApprenticeshipJourneypersonCertificate/DiplomaBachelor’s DegreePost GraduateOther
Employment
List your previous work experience, including volunteer work in the fields below. Start with the most recent job/volunteer activity.

This information is used for government reporting purposes only.
We will not share this information. We will not contact your previous employer.

As a government-funded employment program, we are responsible for reporting information about each participant's work history. We are required to categorize the type of company or organization you worked for and the services they provided.

We need the name of your employer and your title or job duties to complete this process. Please be as specific as possible. We may contact you for more information or to clarify your responses.
Work Experience • 1
Employment Type • 1*

PaidSelf-EmployedUnpaidVolunteer
Name of Employer • 1*
Job Title/Duties • 1*
Employment Start Date • 1

MonthDayYear
Date
Employment End Date • 1

MonthDayYear
Date
Country of Employment • 1
Preferred method of reporting wage • 1

HourlyWeeklyBi-WeeklyMonthlyYearly
Reason for Leaving • 1
Wage Amount ($) • 1*
Hourly wage (including tips and commissions) ($) • 1*
Average Paid Hours per Week (excluding overtime) • 1*
FOR INTERNAL USE ONLY

Continue to Additional Work Experience (if applicable) below.
NOC•1
NAICS•1
Additional Work Experience (if applicable)
Employment Type • 2

PaidSelf-EmployedUnpaidVolunteer
Name of Employer • 2
Job Title/Duties • 2
Employment Start Date • 2

MonthDayYear
Date
Employment End Date • 2

MonthDayYear
Date
Country of Employment • 2
Preferred method of reporting wage • 2

HourlyWeeklyBi-WeeklyMonthlyYearly
Reason for Leaving • 2
The following questions are required if you included employment information for Additional Work Experience above.
Wage Amount ($) • 2
Hourly wage (including tips and commissions) ($) • 2
Average Paid Hours per Week (excluding overtime) • 2
FOR INTERNAL USE ONLY

Continue to Notice of Collection and Consent below.
NOC•2
NAICS•2
Notice of Collection
Please read the following information carefully before continuing to the form confirmation below.

Staff is available to help you complete this form. If you have any questions or concerns, please save your form and email wfd-help@landscapeontario.com
Notice of Collection and Consent • Skills Development Fund Sole

Organizations delivering Skills Development Fund under an agreement with the Ministry of Labour, Immigration, Training and Skills Development (the “Ministry”) are required to make its records available to the Ministry for inspection, investigation or audit.

For those organizations in a Partnership Agreement with a lead organization, please note that the lead organization has an agreement with the Ministry. In accordance with the Partnership Agreement, your information will be shared with the lead organization. The lead organization, in turn, will share your information with the Ministry. The partnership agreement requires that your organization make its records available to the lead organization. In turn, the lead organization will share your information with the Ministry for inspection, investigation, or audit, as appropriate and as necessary.

Your organization/the lead organization in the consortia is also required to report to the Ministry on:
- The service it tailors and provides you;
- Your employment progress and outcome; and
- Your satisfaction with the services you receive.
The Ministry will also collect relevant personal information about you from the Government of Canada (Canada) if necessary. The purpose of this information is to determine your eligibility for Employment Insurance benefits, the nature and level of Employment Insurance benefits, and to monitor, assess and evaluate the effectiveness of Skills Development Fund. Depending on the type of service or support you receive and any incentives available to your employer to hire you, your organization or the Ministry may also collect personal information about you from your employer. The Ministry may use contractors and auditors to administer and finance Skills Development Fund.

Administration includes:
- Assessing the performance of your organization, its effectiveness, efficiency and customer service results; monitoring, inspecting, investigating, auditing and enforcing your organization's compliance with its agreement with the ministry.
- Planning, evaluating and monitoring Skills Development Fund - this includes conducting surveys, and conducting policy and statistical analysis and research related to all aspects of Skills Development Fund. You may be contacted to request your voluntary participation in surveys.
- Promoting Skills Development Fund - you may be contacted to request your voluntary participation in public relations campaigns related to Skills Development Fund.
If you are a client of, or applying to, the Ontario Disability Support Program or Ontario Works, the Ministry will provide your personal information to the Ministry of Children, Community and Social Services (MCCSS) for the purposes of administering employment services and managing the participation of MCCSS clients within employment support programs under the Ontario Works Act, 1997, and the Ontario Disability Support Program Act, 1997.

Skills Development Fund is funded by the Ministry, in part with funds provided by Canada under Part II of the Employment Insurance Act. When funds are provided by Canada, the ministry is required to provide information to Canada to help monitor and assess the Employment Insurance Program, as required under s.3 of the Employment Insurance Act.

Under the Labour Market Development Agreement between Canada and Ontario (LMDA) and the Workforce Development Agreement between Canada and Ontario (WDA), the Ministry is required to collect social insurance numbers from EI beneficiaries to request approval to continue to receive regular EI benefits in order to take part in training programs and other employment activities.

The Ministry collects your personal information pursuant to the LMDA and WDA, ss. 3 and 63 of the Employment Insurance Act, S.C. 1996, C.23 as amended, and s.76.29 of the Employment Insurance Regulations, SOR/96-332. The Ministry will collect personal information from clients who identify as Ontario Disability Support Program or Ontario Works recipients and disclose your personal information to MCCSS in accordance with the s.71 of the Ontario Works Act, 1997, and s.53 of the Ontario Disability Support Program Act, 1997.

For more information about the collection and use of your personal information to administer and finance Skills Development Fund, you can contact the Manager, Employment Ontario Call Centre, in writing at the Ministry of Labour, Immigration, Training and Skills Development, 33 Bloor Street East, 2nd Floor, Toronto, Ontario M7A 2S3 or by phone at 1-800-387-5656. For the hearing impaired, TTY is available at 1-866-533-6339.
Consent
• * I/we acknowledge that my Service Provider (Landscape Ontario) has explained its use and disclosure of my personal information for its purpose.
1: Participant Full Name*
1: Date*

MonthDayYear
Date
1A: Parent's/Guardian's Name (if participant is under 18)
1A: Date

MonthDayYear
Date
• * I/we give consent to the Ministry to indirectly collect, use and disclose my personal information for the purposes set out above.
2: Participant Full Name*
2: Date*

MonthDayYear
Date
2A: Parent's/Guardian's Name (if participant is under 18)
2A: Date

MonthDayYear
Date
To save your form and continue later, select Save and follow the on-screen instructions. If you have any questions or require any assistance, please contact wfd-help@landscapeontario.com
Should be Empty:

Landscape Ontario: SDF Participant Registration Form

Participant Details

Participant Address and Contact Information

Participant Profile Information

Education

Employment

Work Experience • 1

Additional Work Experience (if applicable)

Notice of Collection

Consent