Client Registration Online Form

Primary Address

Financial Assistance

Declaration / Consent:

Your name, social insurance number, home phone number and home address and postal code are collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. It will be used in the administration of career services and to determine eligibility for career and employment services. If you have any questions about the collection, contact FOIP office for the Government of Alberta 780-422-2657.

Please sign by writing your full name in the space below

Client Satisfaction Surveys

The Government of Alberta would like to measure the quality of the services offered in the programs they fund, including Career Connection. As such, they employ an independent company, R.A. Malatest & Associates Ltd. who randomly select a sample size of past clients to survey. The questions asked are directly related to the quality of the services received and your current academic and/or employment pursuits. I understand that my participation in such surveys is voluntary and the collected information will be held in the highest confidentiality.

Please sign by writing your full name in the space below

Employment History

Please provide your three most recent jobs starting with the most recent

Employer 1

Employer 2

Employer 3

Education and Training

Education/Training 1

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

Education/Training 2

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

Education/Training 3

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

Education/Training 4

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

Education/Training 5

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

Education/Training 6

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

Education/Training 7

If you chose high school please enter the last grade completed.

If you chose Apprentice please enter what year.

If you chose other, please enter the qualification here.

My Ideal Job Type and Career Target