ACFN Employment and Training Application Form

Please read and review the following carefully.

You must meet the following criteria to register with our office:
- Be an ACFN member
- Be unemployed or underemployed for training requests
- Provide a minimum of 6 weeks in advance for any training requests
- Provide a minimum of 4 months in advance for educational requests or technical training
- Complete the educational and technical training within a 12-month timeframe
If you meet the above criteria, you then need to fill out a registration form and provide status verification to our office (registration form attached).
Once we have received your registration, correspondence from the institution (including the financial costs and breakdown), status verification and letters from other sources denying funding (if applicable) we will begin to process your registration.
When your registration is finalized and processed, we will contact you to inform you if you are approved or denied. Requests of a substantial amount for educational and technical training must be brought for final approval to the Chief and Council and by recommendation of the ISETS Coordinator.
Upon approval, a meeting or phone interview will be conducted with the ISETS Coordinator to discuss the details of the program and/or training and you will be provided with the applicable information to start.
By signing this agreement and initialing the following document you agree to complete and pass the program and/or training or you will reimburse ACFN for the total costs incurred should you withdraw, get terminated, quit, do not pass or do not complete the program and/or training. You will should this occur be blacklisted from entering into any other programs and training in the future until such time that the monies have been recovered to ACFN in full.

*IMPORTANT NOTES

We do not pay for union dues or fees unless we have included this in our training programs.
The ISETS program does not pay for registration and deposits.
Funding is based on fiscal allocations and all applications are considered unless there are budgetary restraints due to lack of funding.
All new applicants (members who have never had previous funding) will be considered first priority as ACFN Education and Training Department would like to ensure fairness for all our members and equal opportunities.

ACFN Employment and Training Department
Box 366 Fort Chipewyan, AB T0P 1B0 | T: 780.697.3730 | F: 780.697.3500
employment@acfn.com | acfn.com

Client Application Form

"*" indicates required fields

Social Insurance Number

Title

Family Name

First Name Family Name Initial

Gender

Mailing Address

Mailing Address City/Town Postal Code

Work Phone

Cell Phone

Date of Birth

Status

Treaty #

Language(s) Spoken

English

Cree

Dene

Other

Marital Status

Spouses Name

Number of Dependents

Please enter a number less than or equal to 99.

Ages

Employment/Financial Status

Grade Completed

Name of School

City/Province

Year

Upgrading Level

GED

Name of College/University

Program

Year

Level

Certificate

Diploma

Degree

Are you indentured as a journeyman or apprentice?

Trade and Year complete

Certificates/Tickets

Drivers License

License Class

Province

License #

Do you have a vehicle?

Do you rely on public transit?

Have you been funded by ACFN before?

Please provide details

Did you complete the program?

Did you pass the program?

Employment History

Employer 1

Company

Job Title and Duties

Start Date

End Date

Reason for Leaving

Add Another Employer

Yes

Employer 2 to add

Employer 2

Company

Job Title and Duties

Start Date

End Date

Reason for Leaving

Add Another Employer

Yes

Employer 3 to add

Employer 3

Company

Job Title and Duties

Start Date

End Date

Reason for Leaving

Add Another Employer

Yes

Employer 4 to add

Employer 4

Company*

Job Title and Duties

Start Date

End Date

Reason for Leaving

Are you seeking employment at the present time?

Reason

What type of work are you most qualified for at present time?

Are you bondable?

How long have you been unemployed and actively searching for work?

Are you willing to relocate for employment?

Where to?

What is your long-term career goal?

References

Please provide references who can comment on your occupational qualifications and performance. (Non-family related, preferably someone who has worked with you. A supervisor is ideal).

Full Name

Phone

Company

Please ensure that you update our office to any changes of your address, phone number, job status and employment information.*

Please ensure that you update our office to any changes of your address, phone number, job status and employment information.

I am fully aware that by signing this agreement and initialing the following that I agree to complete and pass the program and/or training or I will reimburse ACFN for the total costs incurred should I withdraw, get terminated, quit, do not pass or do not complete the program and/or training. I understand that I will be blacklisted from entering into any other programs and training in the future until such time that the monies have been recovered to ACFN in full.*

Any information that is misleading or misrepresented will not be eligible for service at the ACFN Employment and Training office.*

Any information that is misleading or misrepresented will not be eligible for service at the ACFN Employment and Training office.

Full Name

Signature

Please provide proof of training or program information. Attach acceptance letters, registration, costs, tuition and fees, etc., if applicable.

Drop files here or

Max. file size: 32 MB.

Name

This field is for validation purposes and should be left unchanged.

Careers

ACFN Employment and Training Application Form

Client Application Form

Employment History

References