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Client Application

Congress of Aboriginal Peoples Aboriginal Skills and Employment Training StrategyClient ApplicationFamily Name Given Name(s) Gender Date of Birth (month/day/year) Applicant Information Address (Street number, street name, apartment number)City Province Postal Code Telephone/Email Home: ( ) Cell: ( ) Email: _____ Social Insurance No. Languages Spoken Marital Status No. of dependants Highest education level attained Aboriginal group Do you reside off-reserve? Please indicate any disability or special needs _____ _____ Please list any other supports that may be required for training ( Daycare, transportation, housing, health, life skills, mental health, addictions, learning disabilities, inter-generational issues or other) _____ Collection of Personal Information - The information collected in this Application is required to determine the applicant's eligibili

Collection of Personal Information - The information collected in this application is required to determine the applicant's eligibility for assistance under the ASETS program and will be provided to Canada for the purposes of determining EI eligibility, uploading of data

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