1. Legal Business Name
3. Does your company have under 500 employees?
a) I am a registered business b) I am located in (province/territory)
5. Is your company a registered business?
Yes
Yes
Yes
Yes
No
No
No
No
4. Does your company have legal status in Canada?
c) I can provide a proof of registration if asked
EMPLOYER INFORMATION
Digital Skills for Youth - Internship Program
INTERNSHIP HOST ORGANIZATION (IHO) APPLICATION
INTERNAL USE ONLY
2. Doing Business As
Employer ID
Please submit this completed form to ds4y@pinnguaq.com
6. Does your company have capacity to host internships?
8. If there is another lockdown due to COVID-19, can the internship(s) still be performed?
9. Will the intern be a post-secondary graduate by the start of the internship?
Yes
Yes
Yes
YesNo
No
No
No
7. Does your company have the capacity to provide intern training and support?
10. Employer Type
11. Business Number
13. Address
15. Contact Telephone
18. Number of internships applied for
17. The applicant will, upon approval as an IHO, endeavour to recruit qualied interns from the following underrepresented groups:
Indigenous people/ofcial languages minorities/persons with disabilities/visible minorities/women
Yes
Prot Non For Prot
No
14. Address where work being performed (if different)
16. Contact Email
12. Contact Name
19. Brief history and description of organization (including mandate)
20. Purpose of funding request
1. Job Title
1. Job Title
8. Intern rate of pay ($/hr)
8. Intern rate of pay ($/hr)
2. Proposed start date of internship
2. Proposed start date of internship
7. Total number of hours (= Box 4 x Box 5 x Box 6)
7. Total number of hours (= Box 4 x Box 5 x Box 6)
10. Estimated mandatory employer costs
10. Estimated mandatory employer costs
12. Pinnguaq contribution amount (100% of total wage costs up to a maximum of $25,500.00)
12. Pinnguaq contribution amount (100% of total wage costs up to a maximum of $25,500.00)
13. Job Description, Work Plan and Mentoring Arrangement (attach additional information if necessary)
13. Job Description, Work Plan and Mentoring Arrangement (attach additional information if necessary)
4. Days of work per week
4. Days of work per week
5. Hours of work per day
5. Hours of work per day
6. Total number of weeks
6. Total number of weeks
PROPOSED INTERNSHIP
PROPOSED INTERNSHIP
3. Proposed end date of internship
3. Proposed end date of internship
9. Total trainee wages (= Box 7 x Box 8)
9. Total trainee wages (= Box 7 x Box 8)
11. Total wage cost of intern placement (= Box 9 + Box 10)
11. Total wage cost of intern placement (= Box 9 + Box 10)
21. Brief description of recruitment and hiring process for interns
I hereby certify that the information contained in this application is true and correct to the best of my knowledge and belief.
To apply for more than two internships, add additional sheets in the above format as necessary.
The Digital Skills for Youth Program is a non-repayable contribution program which aims to combine valuable work experience and training related to
digital skills for underemployed recent post-secondary graduates so that they can successfully transition and participate in the new digital economy and
is delivered under the Career Focus (CF) stream of the Government of Canada’s Youth Employment Strategy (YES). The Pinnguaq Association is an
approved Recipient of the Digital Skills for Youth Program.
Employer Name
Employer Signature
Employer Title
Date
1. Do you want Pinnguaq to provide training?
2. Description of training plan (if different for each intern please specify)
3. Amount of training per intern (eligible for a total of $4,000 with the option of up to $1,000 for soft-skill training)
TRAINING PLAN
Yes No
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